Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $144.54 / $151.36	Facility	26	$114.82	$144.54	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,905.46	Professional		$331.13	$478.63	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $141.25 / $416.87	Professional	26	$79.43	$141.25	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $1,122.02	Professional	TC	$251.19	$338.84	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $239.88 / $512.86	Professional		$70.79	$239.88	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $933.25 / $1,318.26	Professional		$338.84	$933.25	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $162.18	Professional	26	$72.44	$109.65	$162.18
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 $446.68 / $851.14 / $1,318.26	Professional		$446.68	$851.14	$1,318.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $162.18	Professional	26	$79.43	$123.03	$162.18
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 $338.84 / $794.33 / $1,348.96	Professional		$338.84	$794.33	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $79.43 / $173.78	Professional	26	$74.13	$79.43	$173.78
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