Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.84 / $73.84 / $163.78	Facility	26	$73.84	$73.84	$163.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.36 / $343.67 / $846.41	Professional		$246.36	$343.67	$846.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $102.65 / $213.88	Professional	26	$73.84	$102.65	$213.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $172.51 / $241.02 / $463.70	Professional	TC	$172.51	$241.02	$463.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $238.16 / $599.29	Professional		$93.87	$238.16	$599.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $457.96 / $582.44	Professional		$339.78	$457.96	$582.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.83 / $148.03 / $181.42	Professional	26	$109.83	$148.03	$181.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.95 / $309.93 / $401.02	Professional	TC	$229.95	$309.93	$401.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $120.14 / $354.49	Professional		$32.34	$120.14	$354.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $457.96 / $582.44	Professional		$339.78	$457.96	$582.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $109.83 / $148.03 / $181.42	Professional	26	$109.83	$148.03	$181.42
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $229.95 / $309.93 / $401.02	Professional	TC	$229.95	$309.93	$401.02
United Facility/Professional Professional Modifier Low / Median / High Price $408.45 / $429.01 / $669.26	Professional		$408.45	$429.01	$669.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $121.04 / $132.63 / $206.90	Professional	26	$121.04	$132.63	$206.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.95 / $296.38 / $462.36	Professional	TC	$279.95	$296.38	$462.36