Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.62 / $67.62 / $67.62	Facility	26	$67.62	$67.62	$67.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $299.55 / $1,141.00	Professional		$213.68	$299.55	$1,141.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.98 / $106.76 / $326.00	Professional	26	$75.98	$106.76	$326.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.61 / $181.59 / $279.43	Professional	TC	$122.61	$181.59	$279.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $159.68 / $308.45	Professional		$72.83	$159.68	$308.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $333.20 / $435.94	Professional		$250.47	$333.20	$435.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.00 / $123.44 / $154.07	Professional	26	$92.00	$123.44	$154.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.63 / $206.91 / $272.56	Professional	TC	$161.63	$206.91	$272.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $125.04 / $339.12	Professional		$32.34	$125.04	$339.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $380.80 / $535.50	Professional		$258.88	$380.80	$535.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $94.05 / $123.44 / $153.35	Professional	26	$94.05	$123.44	$153.35
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $162.32 / $206.91 / $254.06	Professional	TC	$162.32	$206.91	$254.06
United Facility/Professional Professional Modifier Low / Median / High Price $265.19 / $371.27 / $535.03	Professional		$265.19	$371.27	$535.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.55 / $136.51 / $193.56	Professional	26	$95.55	$136.51	$193.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.39 / $232.73 / $327.55	Professional	TC	$168.39	$232.73	$327.55