Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.74 / $94.74 / $178.75	Facility	26	$94.74	$94.74	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.49 / $475.00 / $1,226.40	Professional		$379.49	$475.00	$1,226.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.74 / $140.00 / $378.24	Professional	26	$94.74	$140.00	$378.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.75 / $335.00 / $631.87	Professional	TC	$284.75	$335.00	$631.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $270.92 / $595.66	Professional		$85.00	$270.92	$595.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.92 / $771.31 / $1,125.38	Professional		$400.92	$771.31	$1,125.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.01 / $137.36 / $195.81	Professional	26	$89.01	$137.36	$195.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.94 / $649.79 / $929.57	Professional	TC	$299.94	$649.79	$929.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.10 / $455.56	Professional		$32.34	$126.10	$455.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.56 / $811.91 / $1,154.42	Professional		$507.56	$811.91	$1,154.42
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 $299.94 / $649.79 / $929.57	Professional	TC	$299.94	$649.79	$929.57
United Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $691.31 / $1,271.90	Professional		$389.59	$691.31	$1,271.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $93.25 / $240.95	Professional	26	$87.61	$93.25	$240.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.33 / $598.11 / $1,030.95	Professional	TC	$296.33	$598.11	$1,030.95