Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.05 / $95.05 / $178.75	Facility	26	$95.05	$95.05	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $518.92 / $1,307.79	Professional		$402.85	$518.92	$1,307.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.05 / $143.00 / $378.24	Professional	26	$95.05	$143.00	$378.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $307.80 / $368.50 / $1,061.48	Professional	TC	$307.80	$368.50	$1,061.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $283.43 / $600.66	Professional		$72.86	$283.43	$600.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.17 / $813.86 / $1,189.90	Professional		$425.17	$813.86	$1,189.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.01 / $137.78 / $196.40	Professional	26	$89.01	$137.78	$196.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $315.00 / $691.98 / $993.49	Professional	TC	$315.00	$691.98	$993.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.10 / $484.69	Professional		$32.34	$126.10	$484.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $863.76 / $1,227.80	Professional		$525.00	$863.76	$1,227.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $92.36 / $143.38 / $184.72	Professional	26	$92.36	$143.38	$184.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $324.20 / $691.98 / $993.49	Professional	TC	$324.20	$691.98	$993.49
United Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $724.11 / $1,350.10	Professional		$413.52	$724.11	$1,350.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $93.26 / $240.95	Professional	26	$87.61	$93.26	$240.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.26 / $630.91 / $1,109.15	Professional	TC	$320.26	$630.91	$1,109.15