Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $348.06 / $1,411.00	Professional		$306.00	$348.06	$1,411.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.09 / $91.48 / $105.01	Professional	26	$84.09	$91.48	$105.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.90 / $256.57 / $282.23	Professional	TC	$221.90	$256.57	$282.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $130.40 / $473.75	Professional		$130.40	$130.40	$473.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.40 / $130.40 / $130.40	Facility	26	$130.40	$130.40	$130.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.97 / $473.75 / $473.75	Professional		$401.97	$473.75	$473.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.60 / $130.40 / $158.07	Professional	26	$102.60	$130.40	$158.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $289.25 / $343.35 / $344.40	Professional	TC	$289.25	$343.35	$344.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $130.40 / $130.40 / $130.40	Facility	26	$130.40	$130.40	$130.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $432.43 / $637.70	Professional		$294.70	$432.43	$637.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.60 / $130.40 / $158.07	Professional	26	$102.60	$130.40	$158.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $289.25 / $343.35 / $344.40	Professional	TC	$289.25	$343.35	$344.40
United Facility/Professional Professional Modifier Low / Median / High Price $424.07 / $502.28 / $836.20	Professional		$424.07	$502.28	$836.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.46 / $145.80 / $230.33	Professional	26	$125.46	$145.80	$230.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $272.60 / $348.00 / $605.87	Professional	TC	$272.60	$348.00	$605.87