Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $301.42 / $583.00 / $667.36	Facility	26	$301.42	$583.00	$667.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,114.63 / $10,147.00	Professional		$1,889.42	$2,114.63	$10,147.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $399.98 / $1,965.00	Professional	26	$347.37	$399.98	$1,965.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,458.67 / $1,745.82 / $4,260.68	Professional	TC	$1,458.67	$1,745.82	$4,260.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.14 / $1,256.06 / $2,192.23	Professional		$385.14	$1,256.06	$2,192.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.78 / $2,791.87 / $3,530.41	Professional		$1,907.78	$2,791.87	$3,530.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $416.43 / $607.45 / $739.23	Professional	26	$416.43	$607.45	$739.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,424.90 / $2,237.19 / $2,793.31	Professional	TC	$1,424.90	$2,237.19	$2,793.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $493.67 / $2,057.37	Professional		$32.34	$493.67	$2,057.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,907.78 / $2,791.87 / $3,530.41	Professional		$1,907.78	$2,791.87	$3,530.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $455.62 / $607.45 / $739.23	Professional	26	$455.62	$607.45	$739.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $1,681.84 / $2,237.19 / $2,793.31	Professional	TC	$1,681.84	$2,237.19	$2,793.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,436.50 / $2,695.98 / $4,621.51	Professional		$2,436.50	$2,695.98	$4,621.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $475.12 / $538.58 / $843.78	Professional	26	$475.12	$538.58	$843.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,895.61 / $2,195.10 / $2,957.16	Professional	TC	$1,895.61	$2,195.10	$2,957.16