Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $56.23 / $70.79	Facility	26	$50.12	$56.23	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $1,445.44	Professional		$229.09	$309.03	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $54.95 / $186.21	Professional	26	$33.88	$54.95	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $263.03 / $707.95	Professional	TC	$194.98	$263.03	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $181.97 / $316.23	Professional		$28.18	$181.97	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $575.44	Professional		$275.42	$389.05	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $95.50	Professional	26	$47.86	$67.61	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $316.23 / $478.63	Professional	TC	$229.09	$316.23	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $575.44	Professional		$199.53	$371.54	$575.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $64.57 / $95.50	Professional	26	$46.77	$64.57	$95.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $309.03 / $478.63	Professional	TC	$229.09	$309.03	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $512.86	Professional		$204.17	$213.80	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $37.15 / $72.44	Professional	26	$35.48	$37.15	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $177.83 / $446.68	Professional	TC	$169.82	$177.83	$446.68