Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.03 / $313.80 / $359.21	Facility	26	$162.03	$313.80	$359.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.44 / $488.74 / $1,309.52	Professional		$427.44	$488.74	$1,309.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $216.59 / $1,047.00	Professional	26	$188.34	$216.59	$1,047.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $270.72 / $790.77	Professional	TC	$239.11	$270.72	$790.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $324.72 / $582.12	Professional		$206.48	$324.72	$582.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.11 / $660.71 / $887.54	Professional		$532.11	$660.71	$887.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $247.03 / $326.29 / $397.90	Professional	26	$247.03	$326.29	$397.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.08 / $347.06 / $493.05	Professional	TC	$285.08	$347.06	$493.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $224.56 / $528.28	Professional		$32.34	$224.56	$528.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $532.11 / $660.71 / $887.54	Professional		$532.11	$660.71	$887.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $247.03 / $326.29 / $397.90	Professional	26	$247.03	$326.29	$397.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $285.08 / $347.06 / $493.05	Professional	TC	$285.08	$347.06	$493.05
United Facility/Professional Professional Modifier Low / Median / High Price $597.79 / $621.64 / $969.76	Professional		$597.79	$621.64	$969.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $283.36 / $290.52 / $453.22	Professional	26	$283.36	$290.52	$453.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.22 / $331.11 / $516.54	Professional	TC	$314.22	$331.11	$516.54