Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $51.35 / $58.79	Facility	26	$27.80	$51.35	$58.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $311.04 / $1,705.00	Professional		$251.87	$311.04	$1,705.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $43.15 / $195.00	Professional	26	$27.80	$43.15	$195.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $260.75 / $835.17	Professional	TC	$218.71	$260.75	$835.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $189.39 / $356.59	Professional		$34.54	$189.39	$356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.81 / $381.16 / $529.04	Professional		$274.81	$381.16	$529.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $53.07 / $72.09	Professional	26	$41.11	$53.07	$72.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.70 / $328.09 / $461.86	Professional	TC	$233.70	$328.09	$461.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.05 / $430.21	Professional		$32.34	$57.05	$430.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $422.00 / $529.04	Professional		$232.47	$422.00	$529.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $58.76 / $72.09	Professional	26	$41.11	$58.76	$72.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $233.70 / $363.24 / $461.86	Professional	TC	$233.70	$363.24	$461.86
United Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $252.47 / $689.67	Professional		$216.45	$252.47	$689.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $33.75 / $87.70	Professional	26	$31.89	$33.75	$87.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $210.25 / $592.54	Professional	TC	$184.56	$210.25	$592.54