Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.61 / $132.61 / $132.61	Facility	26	$132.61	$132.61	$132.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $398.70 / $645.19	Professional		$341.43	$398.70	$645.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.77 / $132.90 / $289.45	Professional	26	$121.77	$132.90	$289.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $261.14 / $403.03	Professional	TC	$214.11	$261.14	$403.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.94 / $1,057.83 / $1,772.15	Facility		$440.94	$1,057.83	$1,772.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $264.02 / $550.55	Professional		$116.67	$264.02	$550.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $492.52 / $674.37	Professional		$368.12	$492.52	$674.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.18 / $192.48 / $238.44	Professional	26	$147.18	$192.48	$238.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.94 / $325.82 / $449.63	Professional	TC	$220.94	$325.82	$449.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $194.64 / $531.61	Professional		$32.34	$194.64	$531.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.12 / $368.12 / $412.22	Facility		$368.12	$368.12	$412.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $515.42 / $674.37	Professional		$368.12	$515.42	$674.37
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $147.18 / $191.97 / $238.44	Professional	26	$147.18	$191.97	$238.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $220.94 / $345.97 / $449.63	Professional	TC	$220.94	$345.97	$449.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.37 / $524.16 / $806.58	Professional		$385.37	$524.16	$806.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $164.68 / $212.29 / $293.10	Professional	26	$164.68	$212.29	$293.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.80 / $343.49 / $513.48	Professional	TC	$239.80	$343.49	$513.48