Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $721.00	Professional		$281.00	$281.00	$721.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.43 / $151.44 / $860.00	Professional	26	$151.43	$151.44	$860.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.56 / $129.56 / $129.56	Professional	TC	$129.56	$129.56	$129.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $164.15 / $523.49	Professional		$85.55	$164.15	$523.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $315.23 / $438.59	Professional		$190.94	$315.23	$438.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.69 / $162.68 / $213.40	Professional	26	$106.69	$162.68	$213.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.25 / $165.57 / $230.35	Professional	TC	$84.25	$165.57	$230.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $162.27 / $336.02	Professional		$32.34	$162.27	$336.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.17 / $411.17 / $649.29	Professional		$234.17	$411.17	$649.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $119.21 / $162.68 / $210.53	Professional	26	$119.21	$162.68	$210.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $102.76 / $165.57 / $230.35	Professional	TC	$102.76	$165.57	$230.35
United Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $163.58 / $434.34	Professional		$141.01	$163.58	$434.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.18 / $80.34 / $214.23	Professional	26	$76.18	$80.34	$214.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $87.40 / $202.29	Professional	TC	$63.88	$87.40	$202.29