Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.51 / $99.51 / $178.75	Facility	26	$99.51	$99.51	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.13 / $522.50 / $1,470.14	Professional		$433.13	$522.50	$1,470.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.51 / $140.00 / $258.01	Professional	26	$99.51	$140.00	$258.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $333.62 / $368.50 / $694.20	Professional	TC	$333.62	$368.50	$694.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $330.35 / $726.32	Professional		$100.39	$330.35	$726.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.27 / $922.13 / $1,360.16	Professional		$477.27	$922.13	$1,360.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.43 / $144.72 / $205.97	Professional	26	$93.43	$144.72	$205.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.16 / $794.10 / $1,154.19	Professional	TC	$363.16	$794.10	$1,154.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $132.37 / $555.04	Professional		$32.34	$132.37	$555.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $599.95 / $1,001.01 / $1,363.15	Professional		$599.95	$1,001.01	$1,363.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $96.62 / $150.47 / $193.25	Professional	26	$96.62	$150.47	$193.25
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $367.50 / $794.10 / $1,154.19	Professional	TC	$367.50	$794.10	$1,154.19
United Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $834.80 / $1,567.37	Professional		$477.94	$834.80	$1,567.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.25 / $114.76 / $252.00	Professional	26	$92.25	$114.76	$252.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.39 / $704.49 / $1,315.37	Professional	TC	$380.39	$704.49	$1,315.37