Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.68 / $78.68 / $178.75	Facility	26	$78.68	$78.68	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.54 / $475.00 / $1,851.41	Professional		$326.54	$475.00	$1,851.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.68 / $140.00 / $154.00	Professional	26	$78.68	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.87 / $335.00 / $557.00	Professional	TC	$247.87	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $237.31 / $553.88	Professional		$79.18	$237.31	$553.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.84 / $608.05 / $927.42	Professional		$342.84	$608.05	$927.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.70 / $115.11 / $163.92	Professional	26	$73.70	$115.11	$163.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.10 / $506.23 / $763.50	Professional	TC	$255.10	$506.23	$763.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.68 / $401.79	Professional		$32.34	$104.68	$401.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $687.37 / $951.51	Professional		$423.00	$687.37	$951.51
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $76.63 / $119.03 / $153.26	Professional	26	$76.63	$119.03	$153.26
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $259.02 / $506.23 / $763.50	Professional	TC	$259.02	$506.23	$763.50
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $511.35 / $944.81	Professional		$333.14	$511.35	$944.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.36 / $78.17 / $200.67	Professional	26	$74.36	$78.17	$200.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $433.18 / $832.04	Professional	TC	$255.83	$433.18	$832.04