Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.29 / $95.52 / $95.52	Facility	26	$50.29	$95.52	$95.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $268.95 / $876.00	Professional		$182.06	$268.95	$876.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.51 / $76.69 / $268.00	Professional	26	$56.51	$76.69	$268.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.77 / $168.03 / $291.83	Professional	TC	$131.77	$168.03	$291.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $150.01 / $377.47	Professional		$56.81	$150.01	$377.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $295.18 / $372.38	Professional		$221.86	$295.18	$372.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $90.75 / $114.03	Professional	26	$66.11	$90.75	$114.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.88 / $204.43 / $252.15	Professional	TC	$152.88	$204.43	$252.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.04 / $316.07	Professional		$32.34	$93.04	$316.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $332.79 / $520.91	Professional		$231.94	$332.79	$520.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $91.32 / $110.89	Professional	26	$69.48	$91.32	$110.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $152.88 / $204.69 / $252.15	Professional	TC	$152.88	$204.69	$252.15
United Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $332.46 / $463.06	Professional		$237.47	$332.46	$463.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $96.99 / $132.13	Professional	26	$66.86	$96.99	$132.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.29 / $233.73 / $335.69	Professional	TC	$186.29	$233.73	$335.69