Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.63 / $393.75 / $482.04	Professional		$350.63	$393.75	$482.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $42.60 / $56.26	Professional	26	$40.39	$42.60	$56.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $310.24 / $351.12 / $425.78	Professional	TC	$310.24	$351.12	$425.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $100.13 / $764.82	Professional		$42.46	$100.13	$764.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.72 / $458.52 / $633.02	Professional		$343.72	$458.52	$633.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.53 / $57.49 / $86.28	Professional	26	$39.53	$57.49	$86.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $304.19 / $368.95 / $557.37	Professional	TC	$304.19	$368.95	$557.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.06 / $558.71	Professional		$32.34	$69.06	$558.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.50 / $550.01 / $1,157.01	Professional		$403.50	$550.01	$1,157.01
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $57.49 / $75.66	Professional	26	$46.29	$57.49	$75.66
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $339.99 / $401.03 / $557.37	Professional	TC	$339.99	$401.03	$557.37
United Facility/Professional Professional Modifier Low / Median / High Price $231.17 / $270.24 / $720.64	Professional		$231.17	$270.24	$720.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $30.53 / $81.42	Professional	26	$27.93	$30.53	$81.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.24 / $239.71 / $639.22	Professional	TC	$203.24	$239.71	$639.22