Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.80 / $70.80 / $166.08	Facility	26	$70.80	$70.80	$166.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.51 / $1,211.98 / $4,963.22	Professional		$715.51	$1,211.98	$4,963.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $644.71 / $1,079.11 / $4,394.97	Professional	TC	$644.71	$1,079.11	$4,394.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $247.30 / $876.03	Professional		$92.56	$247.30	$876.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.49 / $1,153.76 / $1,678.13	Professional		$396.49	$1,153.76	$1,678.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $294.41 / $1,009.46 / $1,494.17	Professional	TC	$294.41	$1,009.46	$1,494.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $156.19 / $1,208.22	Professional		$32.34	$156.19	$1,208.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.27 / $1,185.36 / $1,678.13	Professional		$546.27	$1,185.36	$1,678.13
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $457.96 / $1,034.26 / $1,494.17	Professional	TC	$457.96	$1,034.26	$1,494.17
United Facility/Professional Professional Modifier Low / Median / High Price $654.65 / $1,082.69 / $1,689.00	Professional		$654.65	$1,082.69	$1,689.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $531.48 / $950.06 / $1,510.65	Professional	TC	$531.48	$950.06	$1,510.65