Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $475.00 / $1,756.08	Professional		$276.56	$475.00	$1,756.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $126.00 / $154.00	Professional	26	$70.56	$126.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.98 / $335.00 / $565.00	Professional	TC	$205.98	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.84 / $108.84 / $428.53	Professional		$108.84	$108.84	$428.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.84 / $108.84 / $134.55	Facility	26	$108.84	$108.84	$134.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $534.61 / $728.80	Professional		$387.06	$534.61	$728.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $108.84 / $173.40	Professional	26	$70.81	$108.84	$173.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $304.86 / $427.71 / $559.05	Professional	TC	$304.86	$427.71	$559.05
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $108.84 / $108.84 / $134.55	Facility	26	$108.84	$108.84	$134.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $454.01 / $696.38	Professional		$292.48	$454.01	$696.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $108.84 / $143.09	Professional	26	$70.81	$108.84	$143.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $319.69 / $400.42 / $480.32	Professional	TC	$319.69	$400.42	$480.32
United Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $384.57 / $550.14	Professional		$266.27	$384.57	$550.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.91 / $64.56 / $134.40	Professional	26	$63.91	$64.56	$134.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.85 / $320.00 / $529.75	Professional	TC	$201.85	$320.00	$529.75