Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.47 / $34.47 / $72.56	Facility	26	$34.47	$34.47	$72.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $258.55 / $1,343.79	Professional		$160.99	$258.55	$1,343.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $58.05 / $272.85	Professional	26	$34.47	$58.05	$272.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.52 / $200.50 / $1,070.94	Professional	TC	$126.52	$200.50	$1,070.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $143.33 / $240.13	Professional		$42.71	$143.33	$240.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $369.36 / $441.23	Professional		$292.00	$369.36	$441.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.71 / $67.98 / $89.21	Professional	26	$52.71	$67.98	$89.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.69 / $269.08 / $352.01	Professional	TC	$228.69	$269.08	$352.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.94 / $302.20	Professional		$32.34	$69.94	$302.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.88 / $369.36 / $441.23	Professional		$276.88	$369.36	$441.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.71 / $75.28 / $89.21	Professional	26	$52.71	$75.28	$89.21
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $228.69 / $286.43 / $352.01	Professional	TC	$228.69	$286.43	$352.01
United Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $221.03 / $458.14	Professional		$199.70	$221.03	$458.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $43.84 / $96.41	Professional	26	$40.90	$43.84	$96.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.33 / $177.19 / $446.35	Professional	TC	$158.33	$177.19	$446.35