Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.34 / $82.34 / $82.34	Facility	26	$82.34	$82.34	$82.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.37 / $347.32 / $515.27	Professional		$210.37	$347.32	$515.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.34 / $96.37 / $155.77	Professional	26	$82.34	$96.37	$155.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.03 / $253.00 / $359.50	Professional	TC	$128.03	$253.00	$359.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $171.68 / $342.60	Professional		$93.96	$171.68	$342.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.20 / $453.23 / $690.05	Professional		$324.20	$453.23	$690.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.37 / $145.71 / $207.89	Professional	26	$109.37	$145.71	$207.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.04 / $293.68 / $503.64	Professional	TC	$214.04	$293.68	$503.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $143.33 / $402.96	Professional		$32.34	$143.33	$402.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.20 / $454.66 / $690.05	Professional		$324.20	$454.66	$690.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $109.37 / $143.33 / $186.41	Professional	26	$109.37	$143.33	$186.41
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $214.04 / $282.39 / $503.64	Professional	TC	$214.04	$282.39	$503.64
United Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $434.40 / $1,081.50	Professional		$261.29	$434.40	$1,081.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.30 / $162.25 / $239.37	Professional	26	$123.30	$162.25	$239.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.90 / $249.41 / $522.33	Professional	TC	$183.90	$249.41	$522.33