Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $125.89 / $144.54	Facility	26	$95.50	$125.89	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,148.15	Professional		$288.40	$446.68	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $120.23 / $407.38	Professional	26	$67.61	$120.23	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $338.84 / $1,023.29	Professional	TC	$229.09	$338.84	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $229.09 / $489.78	Professional		$58.88	$229.09	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $933.25 / $1,318.26	Professional		$323.59	$933.25	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $165.96	Professional	26	$66.07	$107.15	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $812.83 / $1,174.90	Professional	TC	$257.04	$812.83	$1,174.90
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 $426.58 / $831.76 / $1,318.26	Professional		$426.58	$831.76	$1,318.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $165.96	Professional	26	$70.79	$114.82	$165.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $831.76 / $1,230.27	Professional	TC	$309.03	$831.76	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $794.33 / $1,348.96	Professional		$323.59	$794.33	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $77.62 / $154.88	Professional	26	$64.57	$77.62	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $660.69 / $1,148.15	Professional	TC	$257.04	$660.69	$1,148.15