Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $218.29 / $500.04	Professional		$182.03	$218.29	$500.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $45.26 / $62.16	Professional	26	$38.82	$45.26	$62.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $173.01 / $437.87	Professional	TC	$143.21	$173.01	$437.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $114.04 / $379.17	Professional		$37.68	$114.04	$379.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $269.39 / $346.90	Professional		$213.66	$269.39	$346.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.03 / $52.82 / $77.81	Professional	26	$36.03	$52.82	$77.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.07 / $229.66 / $266.48	Professional	TC	$165.07	$229.66	$266.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.50 / $376.62	Professional		$32.34	$59.50	$376.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.24 / $340.14 / $837.11	Professional		$232.24	$340.14	$837.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.08 / $52.82 / $70.51	Professional	26	$41.08	$52.82	$70.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $165.07 / $215.31 / $266.48	Professional	TC	$165.07	$215.31	$266.48
United Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $208.96 / $522.39	Professional		$116.61	$208.96	$522.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.69 / $27.72 / $73.91	Professional	26	$25.69	$27.72	$73.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.92 / $181.24 / $453.10	Professional	TC	$90.92	$181.24	$453.10