Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.61 / $47.61 / $47.61	Facility	26	$47.61	$47.61	$47.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $184.78 / $440.90	Professional		$134.66	$184.78	$440.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.61 / $64.75 / $137.07	Professional	26	$47.61	$64.75	$137.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.05 / $119.04 / $303.82	Professional	TC	$87.05	$119.04	$303.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $137.51 / $458.13	Professional		$52.20	$137.51	$458.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $411.40 / $580.70	Professional		$304.74	$411.40	$580.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.12 / $78.83 / $105.73	Professional	26	$58.12	$78.83	$105.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.45 / $335.38 / $474.97	Professional	TC	$244.45	$335.38	$474.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $89.10 / $444.44	Professional		$32.34	$89.10	$444.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.21 / $487.58 / $735.53	Professional		$335.21	$487.58	$735.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.57 / $78.83 / $105.18	Professional	26	$58.57	$78.83	$105.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $245.65 / $347.81 / $434.14	Professional	TC	$245.65	$347.81	$434.14
United Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $451.67 / $690.96	Professional		$317.95	$451.67	$690.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $87.21 / $132.72	Professional	26	$64.23	$87.21	$132.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.00 / $373.65 / $575.11	Professional	TC	$264.00	$373.65	$575.11