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 $311.58 / $475.00 / $981.95	Professional		$311.58	$475.00	$981.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.97 / $143.00 / $567.02	Professional	26	$100.97	$143.00	$567.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.61 / $335.00 / $557.00	Professional	TC	$210.61	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $226.51 / $429.02	Professional		$77.70	$226.51	$429.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $751.99 / $1,096.23	Professional		$329.09	$751.99	$1,096.23
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 $213.68 / $605.76 / $860.88	Professional	TC	$213.68	$605.76	$860.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $134.38 / $383.29	Professional		$32.34	$134.38	$383.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.21 / $751.99 / $1,050.46	Professional		$431.21	$751.99	$1,050.46
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $101.72 / $159.07 / $216.16	Professional	26	$101.72	$159.07	$216.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $221.10 / $605.76 / $860.88	Professional	TC	$221.10	$605.76	$860.88
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $689.47 / $1,234.77	Professional		$318.11	$689.47	$1,234.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $111.28 / $282.76	Professional	26	$99.70	$111.28	$282.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.41 / $501.07 / $945.64	Professional	TC	$218.41	$501.07	$945.64