Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $691.83	Professional		$281.84	$354.81	$691.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $309.03 / $602.56	Professional	TC	$245.47	$309.03	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $251.19 / $363.08	Professional		$40.74	$251.19	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $660.69	Professional		$323.59	$436.52	$660.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $371.54 / $575.44	Professional	TC	$275.42	$371.54	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $660.69	Professional		$323.59	$426.58	$660.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $354.81 / $575.44	Professional	TC	$275.42	$354.81	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $776.25	Professional		$380.19	$478.63	$776.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $416.87 / $676.08	Professional	TC	$323.59	$416.87	$676.08