Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $332.37 / $409.21	Professional		$198.28	$332.37	$409.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.03 / $64.59 / $180.25	Professional	26	$54.03	$64.59	$180.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.34 / $272.87 / $339.73	Professional	TC	$141.34	$272.87	$339.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $83.60 / $292.33	Professional		$83.60	$83.60	$292.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.60 / $83.60 / $103.35	Facility	26	$83.60	$83.60	$103.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $366.73 / $567.10	Professional		$292.33	$366.73	$567.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $83.60 / $134.87	Professional	26	$66.27	$83.60	$134.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.74 / $280.08 / $439.33	Professional	TC	$208.74	$280.08	$439.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $83.60 / $83.60 / $103.35	Facility	26	$83.60	$83.60	$103.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.98 / $320.14 / $481.00	Professional		$196.98	$320.14	$481.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $91.82 / $125.61	Professional	26	$66.27	$91.82	$125.61
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $208.74 / $280.08 / $341.75	Professional	TC	$208.74	$280.08	$341.75
United Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $302.76 / $411.81	Professional		$192.95	$302.76	$411.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $60.49 / $104.40	Professional	26	$49.08	$60.49	$104.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.87 / $241.29 / $307.41	Professional	TC	$143.87	$241.29	$307.41