Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.36 / $44.36 / $100.09	Facility	26	$44.36	$44.36	$100.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.16 / $428.04 / $804.71	Professional		$318.16	$428.04	$804.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.36 / $58.61 / $86.57	Professional	26	$44.36	$58.61	$86.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $273.79 / $369.41 / $718.15	Professional	TC	$273.79	$369.41	$718.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $292.52 / $682.75	Professional		$53.01	$292.52	$682.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.80 / $595.20 / $829.26	Professional		$449.80	$595.20	$829.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.63 / $91.30 / $118.48	Professional	26	$61.63	$91.30	$118.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $379.81 / $511.91 / $710.79	Professional	TC	$379.81	$511.91	$710.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.87 / $638.21	Professional		$32.34	$80.87	$638.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.80 / $606.26 / $935.54	Professional		$449.80	$606.26	$935.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.63 / $88.26 / $110.73	Professional	26	$61.63	$88.26	$110.73
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $379.81 / $495.40 / $629.25	Professional	TC	$379.81	$495.40	$629.25
United Facility/Professional Professional Modifier Low / Median / High Price $528.26 / $679.18 / $1,024.56	Professional		$528.26	$679.18	$1,024.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.32 / $109.21 / $151.80	Professional	26	$82.32	$109.21	$151.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $430.52 / $568.61 / $824.40	Professional	TC	$430.52	$568.61	$824.40