Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.96 / $156.15 / $178.75	Facility	26	$96.96	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.59 / $475.00 / $2,207.11	Professional		$354.59	$475.00	$2,207.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.91 / $140.00 / $327.87	Professional	26	$98.91	$140.00	$327.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.33 / $335.00 / $825.76	Professional	TC	$250.33	$335.00	$825.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $237.39 / $521.94	Professional		$74.31	$237.39	$521.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.98 / $816.68 / $1,197.07	Professional		$347.98	$816.68	$1,197.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.79 / $144.31 / $205.37	Professional	26	$90.79	$144.31	$205.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.00 / $689.02 / $991.70	Professional	TC	$245.00	$689.02	$991.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $128.58 / $467.16	Professional		$32.34	$128.58	$467.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $838.98 / $1,100.74	Professional		$450.00	$838.98	$1,100.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $94.20 / $146.22 / $188.71	Professional	26	$94.20	$146.22	$188.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $245.00 / $689.02 / $991.70	Professional	TC	$245.00	$689.02	$991.70
United Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $728.71 / $1,360.39	Professional		$337.13	$728.71	$1,360.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.25 / $97.80 / $252.00	Professional	26	$92.25	$97.80	$252.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.03 / $630.91 / $1,108.39	Professional	TC	$242.03	$630.91	$1,108.39