Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $74.40 / $127.24	Facility	26	$65.98	$74.40	$127.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.50 / $765.67 / $1,429.56	Professional		$666.50	$765.67	$1,429.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $600.54 / $695.14 / $1,287.38	Professional	TC	$600.54	$695.14	$1,287.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $155.57 / $948.75	Professional		$81.83	$155.57	$948.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.71 / $1,012.75 / $1,787.02	Professional		$606.71	$1,012.75	$1,787.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $524.79 / $887.61 / $1,610.72	Professional	TC	$524.79	$887.61	$1,610.72
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $223.06 / $478.18 / $478.18	Facility	26	$223.06	$478.18	$478.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,422.07 / $6,422.07 / $7,978.20	Professional		$6,422.07	$6,422.07	$7,978.20
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,800.59 / $5,800.59 / $7,141.13	Professional	TC	$5,800.59	$5,800.59	$7,141.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $865.14 / $1,505.08 / $2,263.71	Professional		$865.14	$1,505.08	$2,263.71
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,060.51 / $1,346.04 / $2,036.80	Professional	TC	$1,060.51	$1,346.04	$2,036.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.99 / $1,044.70 / $1,706.10	Professional		$118.99	$1,044.70	$1,706.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $651.69 / $1,038.16 / $2,001.08	Professional		$651.69	$1,038.16	$2,001.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $529.69 / $906.99 / $1,702.60	Professional	TC	$529.69	$906.99	$1,702.60
United Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $871.35 / $1,358.11	Professional		$649.61	$871.35	$1,358.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $531.48 / $756.76 / $1,141.14	Professional	TC	$531.48	$756.76	$1,141.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $778.51 / $865.14 / $1,238.15	Professional		$778.51	$865.14	$1,238.15
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $696.24 / $770.89 / $1,108.67	Professional	TC	$696.24	$770.89	$1,108.67