Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $70.79 / $89.13	Facility	26	$63.10	$70.79	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $1,905.46	Professional		$295.12	$407.38	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $141.25	Professional	26	$41.69	$58.88	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $616.60	Professional	TC	$257.04	$346.74	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $234.42 / $407.38	Professional		$35.48	$234.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $758.58	Professional		$398.11	$537.03	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $117.49	Professional	26	$60.26	$83.18	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $457.09 / $630.96	Professional	TC	$346.74	$457.09	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $758.58	Professional		$288.40	$524.81	$758.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $117.49	Professional	26	$57.54	$81.28	$117.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $436.52 / $630.96	Professional	TC	$323.59	$436.52	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $660.69	Professional		$295.12	$295.12	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $47.86 / $89.13	Professional	26	$44.67	$47.86	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $251.19 / $575.44	Professional	TC	$251.19	$251.19	$575.44