Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $226.03 / $258.08	Professional		$126.91	$226.03	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.36 / $51.39 / $54.07	Professional	26	$39.36	$51.39	$54.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.55 / $174.65 / $204.02	Professional	TC	$87.55	$174.65	$204.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $97.41 / $382.31	Professional		$29.50	$97.41	$382.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $269.68 / $412.99	Professional		$88.75	$269.68	$412.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $69.13 / $99.19	Professional	26	$27.76	$69.13	$99.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.99 / $212.80 / $313.80	Professional	TC	$60.99	$212.80	$313.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.20 / $152.63	Professional		$32.34	$47.20	$152.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $281.94 / $412.99	Professional		$108.49	$281.94	$412.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $69.13 / $99.19	Professional	26	$32.15	$69.13	$99.19
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.06 / $212.80 / $313.80	Professional	TC	$74.06	$212.80	$313.80
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $103.62 / $218.75	Professional		$69.08	$103.62	$218.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $28.58 / $67.89	Professional	26	$21.44	$28.58	$67.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $63.52 / $127.04	Professional	TC	$47.64	$63.52	$127.04