Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.06 / $100.06 / $234.03	Facility	26	$100.06	$100.06	$234.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $351.12 / $1,327.52	Professional		$193.59	$351.12	$1,327.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.06 / $173.54 / $187.22	Professional	26	$100.06	$173.54	$187.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.53 / $163.90 / $217.84	Professional	TC	$93.53	$163.90	$217.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $211.11 / $730.17	Professional		$106.17	$211.11	$730.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.86 / $643.28 / $963.67	Professional		$395.86	$643.28	$963.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.40 / $149.24 / $215.10	Professional	26	$96.40	$149.24	$215.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $296.33 / $494.04 / $725.00	Professional	TC	$296.33	$494.04	$725.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $135.21 / $489.97	Professional		$32.34	$135.21	$489.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.70 / $801.96 / $1,052.52	Professional		$424.70	$801.96	$1,052.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.74 / $149.24 / $205.49	Professional	26	$102.74	$149.24	$205.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $297.63 / $494.04 / $748.57	Professional	TC	$297.63	$494.04	$748.57
United Facility/Professional Professional Modifier Low / Median / High Price $345.81 / $439.84 / $1,016.24	Professional		$345.81	$439.84	$1,016.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.81 / $104.30 / $268.61	Professional	26	$93.81	$104.30	$268.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.00 / $362.34 / $748.50	Professional	TC	$252.00	$362.34	$748.50