Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.82 / $41.82 / $88.11	Facility	26	$41.82	$41.82	$88.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.07 / $376.77 / $975.22	Professional		$246.07	$376.77	$975.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.82 / $53.78 / $257.87	Professional	26	$41.82	$53.78	$257.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.26 / $323.30 / $1,477.69	Professional	TC	$204.26	$323.30	$1,477.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $217.55 / $478.33	Professional		$52.30	$217.55	$478.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.33 / $482.32 / $642.05	Professional		$421.33	$482.32	$642.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $78.11 / $106.06	Professional	26	$64.16	$78.11	$106.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $357.92 / $404.21 / $536.01	Professional	TC	$357.92	$404.21	$536.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.51 / $458.05	Professional		$32.34	$85.51	$458.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.33 / $534.00 / $642.05	Professional		$421.33	$534.00	$642.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $86.48 / $106.06	Professional	26	$64.16	$86.48	$106.06
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $357.92 / $447.52 / $536.01	Professional	TC	$357.92	$447.52	$536.01
United Facility/Professional Professional Modifier Low / Median / High Price $306.99 / $340.16 / $712.19	Professional		$306.99	$340.16	$712.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.01 / $53.12 / $116.82	Professional	26	$48.01	$53.12	$116.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.05 / $274.99 / $595.37	Professional	TC	$259.05	$274.99	$595.37