Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.51 / $131.97 / $151.08	Facility	26	$64.51	$131.97	$151.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $644.90 / $2,340.00	Professional		$342.85	$644.90	$2,340.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.51 / $120.86 / $435.72	Professional	26	$64.51	$120.86	$435.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $315.42 / $2,205.51	Professional	TC	$274.27	$315.42	$2,205.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $265.74 / $593.77	Professional		$68.48	$265.74	$593.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.81 / $707.81 / $707.81	Professional		$707.81	$707.81	$707.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.63 / $107.89 / $146.43	Professional	26	$88.63	$107.89	$146.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $575.16 / $575.16 / $575.16	Professional	TC	$575.16	$575.16	$575.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $112.49 / $567.99	Professional		$32.34	$112.49	$567.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.81 / $707.81 / $707.81	Professional		$707.81	$707.81	$707.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $88.63 / $119.45 / $146.43	Professional	26	$88.63	$119.45	$146.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $575.16 / $575.16 / $575.16	Professional	TC	$575.16	$575.16	$575.16
United Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $340.38 / $897.98	Professional		$338.66	$340.38	$897.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.51 / $73.59 / $153.43	Professional	26	$66.51	$73.59	$153.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.58 / $269.87 / $744.55	Professional	TC	$264.58	$269.87	$744.55