Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $524.40 / $922.50	Facility		$77.34	$524.40	$922.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.71 / $42.22 / $48.34	Facility	26	$22.71	$42.22	$48.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $100.03 / $224.43	Professional		$56.21	$100.03	$224.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $38.67 / $179.30	Professional	26	$29.01	$38.67	$179.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $74.02 / $179.52	Professional	TC	$20.23	$74.02	$179.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $40.92 / $75.30	Professional		$25.13	$40.92	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $207.87 / $321.39	Professional		$50.35	$207.87	$321.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $41.51 / $56.51	Professional	26	$27.00	$41.51	$56.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $171.34 / $267.18	Professional	TC	$23.19	$171.34	$267.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.11 / $73.74	Professional		$32.34	$36.11	$73.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $158.81 / $231.43	Facility		$54.32	$158.81	$231.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $149.91 / $321.25	Professional		$55.20	$149.91	$321.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.09 / $43.82 / $56.45	Professional	26	$27.09	$43.82	$56.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $179.13 / $267.18	Professional	TC	$23.19	$179.13	$267.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $147.88 / $249.90	Professional		$58.47	$147.88	$249.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $34.65 / $64.59	Professional	26	$32.47	$34.65	$64.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $124.56 / $203.35	Professional	TC	$25.99	$124.56	$203.35