Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $36.72 / $36.72	Facility	26	$36.72	$36.72	$36.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $327.39 / $423.56	Professional		$292.39	$327.39	$423.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $146.19 / $169.28 / $201.17	Professional	52	$146.19	$169.28	$201.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $281.30 / $369.20	Professional	TC	$252.77	$281.30	$369.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $253.20 / $411.47	Professional		$40.78	$253.20	$411.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.62 / $436.18 / $665.79	Professional		$323.62	$436.18	$665.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.31 / $369.72 / $578.48	Professional	TC	$274.31	$369.72	$578.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.72 / $509.51	Professional		$32.34	$63.72	$509.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.62 / $459.64 / $804.71	Professional		$323.62	$459.64	$804.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $267.02 / $365.54 / $528.10	Professional	TC	$267.02	$365.54	$528.10
United Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $519.94 / $775.00	Professional		$373.67	$519.94	$775.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $333.44 / $437.18 / $670.72	Professional	TC	$333.44	$437.18	$670.72