Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.74 / $156.15 / $178.75	Facility	26	$94.74	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $494.18 / $2,205.48	Professional		$329.70	$494.18	$2,205.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.74 / $143.00 / $527.00	Professional	26	$94.74	$143.00	$527.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.96 / $335.00 / $557.00	Professional	TC	$234.96	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $237.50 / $522.17	Professional		$84.74	$237.50	$522.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.96 / $814.60 / $1,195.28	Professional		$344.96	$814.60	$1,195.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.72 / $137.36 / $195.81	Professional	26	$88.72	$137.36	$195.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.27 / $693.09 / $999.47	Professional	TC	$236.27	$693.09	$999.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.10 / $464.16	Professional		$32.34	$126.10	$464.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.29 / $848.07 / $1,097.94	Professional		$451.29	$848.07	$1,097.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $92.08 / $143.38 / $184.17	Professional	26	$92.08	$143.38	$184.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $246.86 / $693.09 / $999.47	Professional	TC	$246.86	$693.09	$999.47
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $723.80 / $1,358.81	Professional		$336.82	$723.80	$1,358.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $93.19 / $240.16	Professional	26	$87.29	$93.19	$240.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.87 / $630.61 / $1,019.20	Professional	TC	$243.87	$630.61	$1,019.20