Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.51 / $59.78 / $74.73	Facility	26	$35.51	$59.78	$74.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.99 / $359.24 / $1,591.00	Professional		$242.99	$359.24	$1,591.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $59.79 / $263.00	Professional	26	$43.47	$59.79	$263.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.48 / $274.68 / $1,766.78	Professional	TC	$207.48	$274.68	$1,766.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $214.70 / $359.69	Professional		$44.67	$214.70	$359.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.30 / $460.65 / $629.66	Professional		$329.30	$460.65	$629.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.57 / $69.48 / $91.87	Professional	26	$53.57	$69.48	$91.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.73 / $391.15 / $537.79	Professional	TC	$275.73	$391.15	$537.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.01 / $451.43	Professional		$32.34	$73.01	$451.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $510.00 / $629.66	Professional		$277.11	$510.00	$629.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.57 / $76.94 / $91.87	Professional	26	$53.57	$76.94	$91.87
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $275.73 / $433.06 / $537.79	Professional	TC	$275.73	$433.06	$537.79
United Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $293.42 / $697.42	Professional		$259.29	$293.42	$697.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.55 / $44.15 / $100.64	Professional	26	$41.55	$44.15	$100.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.74 / $260.13 / $596.78	Professional	TC	$217.74	$260.13	$596.78