Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.26 / $114.97 / $131.61	Facility	26	$59.26	$114.97	$131.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.07 / $540.34 / $2,556.44	Professional		$328.07	$540.34	$2,556.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $79.06 / $380.00	Professional	26	$67.73	$79.06	$380.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.69 / $468.45 / $1,208.93	Professional	TC	$365.69	$468.45	$1,208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $303.42 / $529.57	Professional		$76.84	$303.42	$529.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.52 / $707.06 / $949.84	Professional		$426.52	$707.06	$949.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $119.17 / $145.79	Professional	26	$80.95	$119.17	$145.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $333.91 / $599.16 / $806.51	Professional	TC	$333.91	$599.16	$806.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $96.84 / $514.59	Professional		$32.34	$96.84	$514.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.52 / $707.06 / $949.84	Professional		$426.52	$707.06	$949.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $88.63 / $119.17 / $145.79	Professional	26	$88.63	$119.17	$145.79
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $410.77 / $599.16 / $806.51	Professional	TC	$410.77	$599.16	$806.51
United Facility/Professional Professional Modifier Low / Median / High Price $569.39 / $635.17 / $990.87	Professional		$569.39	$635.17	$990.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.37 / $104.64 / $166.08	Professional	26	$92.37	$104.64	$166.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $477.02 / $528.71 / $824.79	Professional	TC	$477.02	$528.71	$824.79