Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.03 / $313.80 / $359.21	Facility	26	$162.03	$313.80	$359.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $557.72 / $2,094.78	Professional		$339.18	$557.72	$2,094.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $220.49 / $1,035.39	Professional	26	$198.28	$220.49	$1,035.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.70 / $325.33 / $742.60	Professional	TC	$264.70	$325.33	$742.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $332.62 / $596.27	Professional		$206.92	$332.62	$596.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.59 / $810.42 / $1,698.85	Professional		$625.59	$810.42	$1,698.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $237.90 / $325.83 / $421.12	Professional	26	$237.90	$325.83	$421.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.38 / $444.81 / $1,421.69	Professional	TC	$365.38	$444.81	$1,421.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $234.70 / $543.94	Professional		$32.34	$234.70	$543.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.59 / $792.66 / $1,069.76	Professional		$625.59	$792.66	$1,069.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $260.20 / $325.83 / $421.12	Professional	26	$260.20	$325.83	$421.12
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $365.38 / $423.41 / $750.42	Professional	TC	$365.38	$423.41	$750.42
United Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $864.25 / $1,144.46	Professional		$622.54	$864.25	$1,144.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $271.44 / $290.52 / $453.22	Professional	26	$271.44	$290.52	$453.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.77 / $508.76 / $866.21	Professional	TC	$327.77	$508.76	$866.21