Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.23 / $48.23 / $101.35	Facility	26	$48.23	$48.23	$101.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $383.67 / $1,957.00	Professional		$239.34	$383.67	$1,957.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.23 / $81.08 / $349.00	Professional	26	$48.23	$81.08	$349.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.12 / $302.58 / $1,610.09	Professional	TC	$191.12	$302.58	$1,610.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $202.73 / $381.83	Professional		$59.77	$202.73	$381.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.91 / $456.15 / $641.20	Professional		$355.91	$456.15	$641.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.84 / $91.12 / $122.52	Professional	26	$74.84	$91.12	$122.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.37 / $365.02 / $518.67	Professional	TC	$279.37	$365.02	$518.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $97.73 / $447.29	Professional		$32.34	$97.73	$447.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.91 / $505.02 / $641.20	Professional		$355.91	$505.02	$641.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $74.84 / $100.89 / $122.52	Professional	26	$74.84	$100.89	$122.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $279.37 / $404.13 / $518.67	Professional	TC	$279.37	$404.13	$518.67
United Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $326.19 / $677.70	Professional		$295.41	$326.19	$677.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.85 / $87.99 / $151.66	Professional	26	$57.85	$87.99	$151.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.12 / $238.20 / $543.99	Professional	TC	$237.12	$238.20	$543.99