Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $370.30 / $658.61	Professional		$341.43	$370.30	$658.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.31 / $132.90 / $190.72	Professional	26	$127.31	$132.90	$190.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $237.40 / $406.52	Professional	TC	$214.11	$237.40	$406.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.69 / $77,999.99 / $94,999.99	Facility		$1,067.69	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.55 / $194.55 / $605.20	Professional		$194.55	$194.55	$605.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.20 / $605.20 / $605.20	Facility		$605.20	$605.20	$605.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.55 / $194.55 / $194.55	Facility	26	$194.55	$194.55	$194.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.45 / $605.20 / $605.20	Professional		$386.45	$605.20	$605.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.22 / $194.55 / $237.61	Professional	26	$161.22	$194.55	$237.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.23 / $410.65 / $413.62	Professional	TC	$225.23	$410.65	$413.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $605.20 / $616.69	Facility		$278.26	$605.20	$616.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $194.55 / $194.55 / $194.55	Facility	26	$194.55	$194.55	$194.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.82 / $559.29 / $819.70	Professional		$378.82	$559.29	$819.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $161.22 / $194.55 / $237.61	Professional	26	$161.22	$194.55	$237.61
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $225.23 / $410.65 / $413.62	Professional	TC	$225.23	$410.65	$413.62
United Facility/Professional Professional Modifier Low / Median / High Price $480.16 / $618.87 / $1,071.14	Professional		$480.16	$618.87	$1,071.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $182.57 / $218.37 / $341.32	Professional	26	$182.57	$218.37	$341.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.60 / $392.56 / $729.82	Professional	TC	$301.60	$392.56	$729.82