Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.42 / $32.42 / $68.31	Facility	26	$32.42	$32.42	$68.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $250.86 / $1,319.25	Professional		$156.21	$250.86	$1,319.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.80 / $196.21 / $1,062.72	Professional	TC	$123.80	$196.21	$1,062.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $110.26 / $586.79	Professional		$39.82	$110.26	$586.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $344.52 / $437.86	Professional		$283.00	$344.52	$437.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.17 / $278.99 / $353.81	Professional	TC	$229.17	$278.99	$353.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.29 / $298.57	Professional		$32.34	$66.29	$298.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $358.37 / $437.86	Professional		$267.83	$358.37	$437.86
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $229.17 / $280.30 / $353.81	Professional	TC	$229.17	$280.30	$353.81
United Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $219.20 / $449.69	Professional		$196.02	$219.20	$449.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.76 / $186.23 / $359.62	Professional	TC	$156.76	$186.23	$359.62