Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.52 / $761.52 / $761.52	Facility		$761.52	$761.52	$761.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.26 / $552.54 / $634.12	Professional		$402.26	$552.54	$634.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $149.78 / $207.21	Professional	26	$143.80	$149.78	$207.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.05 / $364.75 / $443.04	Professional	TC	$195.05	$364.75	$443.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $247.47 / $922.06	Professional		$121.08	$247.47	$922.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $326.16	Professional		$326.16	$326.16	$326.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $153.56	Professional	26	$153.56	$153.56	$153.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $516.74	Professional		$32.34	$32.34	$516.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.31 / $580.90 / $784.21	Facility		$394.31	$580.90	$784.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $845.27 / $1,085.73	Professional		$326.16	$845.27	$1,085.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $153.56	Professional	26	$153.56	$153.56	$153.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
United Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $313.11 / $556.64	Professional		$208.74	$313.11	$556.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.34 / $111.30 / $296.80	Professional	26	$102.34	$111.30	$296.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $162.40 / $308.56	Professional	TC	$97.44	$162.40	$308.56