Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.26 / $467.96 / $1,037.32	Professional		$405.26	$467.96	$1,037.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.27 / $46.29 / $88.04	Professional	26	$44.27	$46.29	$88.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.00 / $421.65 / $949.29	Professional	TC	$361.00	$421.65	$949.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $147.66 / $906.40	Professional		$51.19	$147.66	$906.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.67 / $569.83 / $734.64	Professional		$475.67	$569.83	$734.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.54 / $64.78 / $97.53	Professional	26	$47.54	$64.78	$97.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $428.13 / $493.40 / $649.12	Professional	TC	$428.13	$493.40	$649.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.74 / $769.64	Professional		$32.34	$82.74	$769.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.12 / $695.20 / $1,643.08	Professional		$543.12	$695.20	$1,643.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.82 / $64.78 / $85.52	Professional	26	$55.82	$64.78	$85.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $440.08 / $513.23 / $649.12	Professional	TC	$440.08	$513.23	$649.12
United Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $353.60 / $942.94	Professional		$273.77	$353.60	$942.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $36.15 / $96.43	Professional	26	$31.39	$36.15	$96.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.39 / $317.44 / $1,310.60	Professional	TC	$242.39	$317.44	$1,310.60