Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $226.60 / $710.82	Professional		$189.62	$226.60	$710.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $65.59 / $252.80	Professional	26	$56.35	$65.59	$252.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.25 / $160.97 / $613.94	Professional	TC	$133.25	$160.97	$613.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $165.93 / $459.26	Professional		$56.20	$165.93	$459.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $312.01 / $374.40	Professional		$224.25	$312.01	$374.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $76.80 / $113.44	Professional	26	$52.95	$76.80	$113.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.60 / $213.70 / $312.12	Professional	TC	$153.60	$213.70	$312.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.71 / $536.44	Professional		$32.34	$91.71	$536.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.76 / $374.40 / $1,073.14	Professional		$243.76	$374.40	$1,073.14
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.29 / $76.80 / $102.63	Professional	26	$61.29	$76.80	$102.63
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $153.60 / $200.35 / $312.12	Professional	TC	$153.60	$200.35	$312.12
United Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $247.07 / $617.66	Professional		$121.91	$247.07	$617.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $40.50 / $144.57	Professional	26	$37.31	$40.50	$144.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.60 / $206.57 / $516.42	Professional	TC	$84.60	$206.57	$516.42