Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.48 / $17.48 / $36.83	Facility	26	$17.48	$17.48	$36.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $266.69 / $1,385.01	Professional		$221.90	$266.69	$1,385.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $29.46 / $134.25	Professional	26	$20.60	$29.46	$134.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.82 / $235.56 / $608.91	Professional	TC	$149.82	$235.56	$608.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $147.02 / $263.56	Professional		$21.53	$147.02	$263.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $322.74 / $428.99	Professional		$283.14	$322.74	$428.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $32.95 / $44.71	Professional	26	$27.06	$32.95	$44.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.45 / $289.80 / $384.27	Professional	TC	$256.45	$289.80	$384.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $35.72 / $310.14	Professional		$27.52	$35.72	$310.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $357.32 / $428.99	Professional		$283.14	$357.32	$428.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $36.47 / $44.71	Professional	26	$27.06	$36.47	$44.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $256.45 / $320.85 / $384.27	Professional	TC	$256.45	$320.85	$384.27
United Facility/Professional Professional Modifier Low / Median / High Price $205.91 / $218.58 / $482.77	Professional		$205.91	$218.58	$482.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $22.40 / $48.56	Professional	26	$20.25	$22.40	$48.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.70 / $205.76 / $507.95	Professional	TC	$185.70	$205.76	$507.95