Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.97 / $156.15 / $178.75	Facility	26	$100.97	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.27 / $475.00 / $980.02	Professional		$311.27	$475.00	$980.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.97 / $140.00 / $518.70	Professional	26	$100.97	$140.00	$518.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.30 / $335.00 / $631.87	Professional	TC	$210.30	$335.00	$631.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $226.07 / $415.74	Professional		$77.70	$226.07	$415.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.47 / $798.99 / $1,169.10	Professional		$328.47	$798.99	$1,169.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.26 / $158.09 / $227.43	Professional	26	$101.26	$158.09	$227.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.48 / $652.76 / $933.76	Professional	TC	$220.48	$652.76	$933.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $134.38 / $382.53	Professional		$32.34	$134.38	$382.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.35 / $798.99 / $1,076.89	Professional		$430.35	$798.99	$1,076.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $101.72 / $158.94 / $216.16	Professional	26	$101.72	$158.94	$216.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $220.48 / $652.76 / $933.76	Professional	TC	$220.48	$652.76	$933.76
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $725.03 / $1,328.79	Professional		$317.50	$725.03	$1,328.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $110.98 / $282.76	Professional	26	$99.70	$110.98	$282.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.80 / $509.44 / $998.99	Professional	TC	$217.80	$509.44	$998.99