Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.83 / $93.34 / $106.85	Facility	26	$50.83	$93.34	$106.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $543.57 / $2,053.00	Professional		$340.60	$543.57	$2,053.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $85.48 / $271.00	Professional	26	$50.83	$85.48	$271.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $289.77 / $458.09 / $2,508.42	Professional	TC	$289.77	$458.09	$2,508.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $294.93 / $648.44	Professional		$62.81	$294.93	$648.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $706.48 / $849.26	Professional		$524.16	$706.48	$849.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $95.96 / $130.34	Professional	26	$78.81	$95.96	$130.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $445.34 / $600.25 / $718.91	Professional	TC	$445.34	$600.25	$718.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.20 / $619.01	Professional		$32.34	$103.20	$619.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $706.48 / $849.26	Professional		$524.16	$706.48	$849.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $106.24 / $130.34	Professional	26	$78.81	$106.24	$130.34
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $445.34 / $600.25 / $718.91	Professional	TC	$445.34	$600.25	$718.91
United Facility/Professional Professional Modifier Low / Median / High Price $406.90 / $450.24 / $990.17	Professional		$406.90	$450.24	$990.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.00 / $65.29 / $143.56	Professional	26	$59.00	$65.29	$143.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.90 / $384.95 / $846.61	Professional	TC	$347.90	$384.95	$846.61