Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.29 / $37.29 / $78.44	Facility	26	$37.29	$37.29	$78.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.63 / $337.90 / $1,538.00	Professional		$233.63	$337.90	$1,538.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $62.75 / $275.00	Professional	26	$37.29	$62.75	$275.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.32 / $287.89 / $502.33	Professional	TC	$196.32	$287.89	$502.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $205.83 / $452.56	Professional		$46.57	$205.83	$452.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.95 / $429.24 / $571.40	Professional		$374.95	$429.24	$571.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $69.17 / $93.94	Professional	26	$56.82	$69.17	$93.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $318.77 / $360.07 / $477.46	Professional	TC	$318.77	$360.07	$477.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.12 / $431.90	Professional		$32.34	$76.12	$431.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.95 / $475.23 / $571.40	Professional		$374.95	$475.23	$571.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $76.58 / $93.94	Professional	26	$56.82	$76.58	$93.94
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $318.77 / $398.65 / $477.46	Professional	TC	$318.77	$398.65	$477.46
United Facility/Professional Professional Modifier Low / Median / High Price $290.01 / $304.70 / $671.36	Professional		$290.01	$304.70	$671.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.83 / $47.04 / $104.85	Professional	26	$44.83	$47.04	$104.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.94 / $257.35 / $566.51	Professional	TC	$244.94	$257.35	$566.51