Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.49 / $464.46 / $464.46	Facility	26	$229.49	$464.46	$464.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.40 / $1,068.85 / $2,016.08	Professional		$706.40	$1,068.85	$2,016.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $229.49 / $289.62 / $1,361.00	Professional	26	$229.49	$289.62	$1,361.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $525.14 / $779.44 / $1,138.58	Professional	TC	$525.14	$779.44	$1,138.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $705.30 / $1,209.13	Professional		$210.98	$705.30	$1,209.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.81 / $1,521.64 / $1,966.22	Professional		$1,080.81	$1,521.64	$1,966.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $299.20 / $477.48 / $593.23	Professional	26	$299.20	$477.48	$593.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $781.61 / $1,044.16 / $1,372.99	Professional	TC	$781.61	$1,044.16	$1,372.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $452.41 / $1,467.55	Professional		$32.34	$452.41	$1,467.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,166.58 / $1,521.64 / $1,966.22	Professional		$1,166.58	$1,521.64	$1,966.22
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $356.92 / $477.48 / $593.23	Professional	26	$356.92	$477.48	$593.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $800.52 / $1,044.16 / $1,372.99	Professional	TC	$800.52	$1,044.16	$1,372.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $1,707.76 / $2,463.19	Professional		$1,342.79	$1,707.76	$2,463.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $406.56 / $491.84 / $693.37	Professional	26	$406.56	$491.84	$693.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $936.23 / $1,189.65 / $1,769.83	Professional	TC	$936.23	$1,189.65	$1,769.83