Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.65 / $58.30 / $66.73	Facility	26	$31.65	$58.30	$66.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.83 / $472.45 / $2,125.00	Professional		$411.83	$472.45	$2,125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $53.39 / $229.68	Professional	26	$36.71	$53.39	$229.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $375.12 / $433.43 / $1,135.16	Professional	TC	$375.12	$433.43	$1,135.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $268.80 / $460.81	Professional		$39.26	$268.80	$460.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.04 / $597.73 / $794.49	Professional		$525.04	$597.73	$794.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.91 / $58.33 / $79.22	Professional	26	$47.91	$58.33	$79.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $477.62 / $539.40 / $715.27	Professional	TC	$477.62	$539.40	$715.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.76 / $564.92	Professional		$32.34	$64.76	$564.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.04 / $661.78 / $794.49	Professional		$525.04	$661.78	$794.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.91 / $64.58 / $79.22	Professional	26	$47.91	$64.58	$79.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $477.62 / $597.20 / $715.27	Professional	TC	$477.62	$597.20	$715.27
United Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $422.72 / $891.66	Professional		$388.67	$422.72	$891.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $38.96 / $89.37	Professional	26	$37.60	$38.96	$89.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.71 / $383.04 / $802.29	Professional	TC	$349.71	$383.04	$802.29