Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $52.48 / $66.07	Facility	26	$46.77	$52.48	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $933.25	Professional		$251.19	$338.84	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $186.21	Professional	26	$30.90	$51.29	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $302.00 / $831.76	Professional	TC	$218.78	$302.00	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $190.55 / $338.84	Professional		$26.30	$190.55	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $660.69	Professional		$316.23	$436.52	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $87.10	Professional	26	$43.65	$60.26	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $371.54 / $575.44	Professional	TC	$269.15	$371.54	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $660.69	Professional		$229.09	$426.58	$660.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $87.10	Professional	26	$43.65	$58.88	$87.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $363.08 / $575.44	Professional	TC	$269.15	$363.08	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $575.44	Professional		$218.78	$245.47	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $33.88 / $66.07	Professional	26	$31.62	$33.88	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $208.93 / $501.19	Professional	TC	$186.21	$208.93	$501.19