Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.99 / $104.91 / $1,006.94	Facility	26	$56.99	$104.91	$1,006.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $498.46 / $2,346.00	Professional		$433.43	$498.46	$2,346.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $79.93 / $330.00	Professional	26	$67.62	$79.93	$330.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $420.69 / $2,003.00	Professional	TC	$365.81	$420.69	$2,003.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $294.01 / $504.03	Professional		$70.50	$294.01	$504.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.52 / $637.89 / $892.87	Professional		$499.52	$637.89	$892.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.30 / $107.49 / $143.55	Professional	26	$88.30	$107.49	$143.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $408.84 / $530.39 / $749.32	Professional	TC	$408.84	$530.39	$749.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $115.31 / $614.66	Professional		$32.34	$115.31	$614.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.52 / $706.23 / $892.87	Professional		$499.52	$706.23	$892.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $88.30 / $119.01 / $143.55	Professional	26	$88.30	$119.01	$143.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $408.84 / $587.22 / $749.32	Professional	TC	$408.84	$587.22	$749.32
United Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $554.23 / $945.13	Professional		$411.98	$554.23	$945.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.14 / $104.64 / $157.63	Professional	26	$66.14	$104.64	$157.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $343.26 / $454.71 / $787.49	Professional	TC	$343.26	$454.71	$787.49