Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $219.67 / $267.56	Professional		$152.60	$219.67	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.19 / $55.08 / $64.17	Professional	26	$48.19	$55.08	$64.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.41 / $104.41 / $203.38	Professional	TC	$104.41	$104.41	$203.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $107.19 / $299.24	Professional		$36.68	$107.19	$299.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $231.97 / $347.42	Professional		$105.02	$231.97	$347.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $70.78 / $101.19	Professional	26	$34.03	$70.78	$101.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.00 / $171.73 / $246.23	Professional	TC	$71.00	$171.73	$246.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.19 / $207.95	Professional		$32.34	$60.19	$207.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $305.77 / $416.02	Professional		$143.97	$305.77	$416.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $70.78 / $101.19	Professional	26	$40.00	$70.78	$101.19
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $92.80 / $171.73 / $246.23	Professional	TC	$92.80	$171.73	$246.23
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $88.68 / $254.39	Professional		$80.33	$88.68	$254.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $34.65 / $82.29	Professional	26	$25.99	$34.65	$82.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $64.31 / $172.10	Professional	TC	$54.34	$64.31	$172.10