Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $758.58	Facility	26	$123.03	$123.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $977.24	Professional		$190.55	$281.84	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $363.08	Professional	26	$67.61	$97.72	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $173.78 / $316.23	Professional	TC	$123.03	$173.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $158.49 / $295.12	Professional		$67.61	$158.49	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $407.38	Professional		$234.42	$316.23	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $154.88	Professional	26	$85.11	$117.49	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $194.98 / $251.19	Professional	TC	$147.91	$194.98	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $524.81	Professional		$251.19	$363.08	$524.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $123.03 / $154.88	Professional	26	$83.18	$123.03	$154.88
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $204.17 / $263.03	Professional	TC	$147.91	$204.17	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $489.78	Professional		$239.88	$363.08	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $134.90 / $190.55	Professional	26	$87.10	$134.90	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $234.42 / $323.59	Professional	TC	$151.36	$234.42	$323.59