Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $912.01	Professional		$316.23	$398.11	$912.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $794.33	Professional	TC	$263.03	$338.84	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $204.17 / $398.11	Professional		$52.48	$204.17	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $812.83	Professional		$331.13	$467.74	$812.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $398.11 / $691.83	Professional	TC	$275.42	$398.11	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $741.31	Professional		$331.13	$446.68	$741.31
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $380.19 / $630.96	Professional	TC	$275.42	$380.19	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $891.25	Professional		$288.40	$501.19	$891.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $426.58 / $758.58	Professional	TC	$218.78	$426.58	$758.58