Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.60 / $201.67 / $230.85	Facility	26	$98.60	$201.67	$230.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.64 / $461.44 / $515.60	Professional		$251.64	$461.44	$515.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.60 / $122.79 / $499.49	Professional	26	$98.60	$122.79	$499.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.04 / $345.83 / $385.70	Professional	TC	$153.04	$345.83	$385.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $288.23 / $494.13	Professional		$80.23	$288.23	$494.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $676.00 / $896.27	Professional		$395.25	$676.00	$896.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.23 / $154.68 / $219.28	Professional	26	$95.23	$154.68	$219.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $283.85 / $521.32 / $676.99	Professional	TC	$283.85	$521.32	$676.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.26 / $478.23	Professional		$32.34	$138.26	$478.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.98 / $759.45 / $1,026.90	Professional		$469.98	$759.45	$1,026.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $101.35 / $154.68 / $202.70	Professional	26	$101.35	$154.68	$202.70
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $283.85 / $501.83 / $676.99	Professional	TC	$283.85	$501.83	$676.99
United Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $511.35 / $1,008.72	Professional		$383.15	$511.35	$1,008.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.89 / $110.51 / $267.02	Professional	26	$98.89	$110.51	$267.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.38 / $447.86 / $740.34	Professional	TC	$280.38	$447.86	$740.34