Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $301.38 / $1,373.45	Professional		$202.10	$301.38	$1,373.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $67.33 / $267.31	Professional	26	$56.47	$67.33	$267.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.63 / $218.83 / $573.23	Professional	TC	$145.63	$218.83	$573.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $93.59 / $341.24	Professional		$93.59	$93.59	$341.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $93.59 / $115.70	Facility	26	$93.59	$93.59	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.24 / $418.02 / $655.47	Professional		$341.24	$418.02	$655.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $93.59 / $147.63	Professional	26	$69.31	$93.59	$147.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.65 / $332.70 / $504.45	Professional	TC	$247.65	$332.70	$504.45
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $93.59 / $115.70	Facility	26	$93.59	$93.59	$115.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $372.73 / $549.73	Professional		$231.68	$372.73	$549.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $96.46 / $140.62	Professional	26	$69.31	$96.46	$140.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $247.65 / $318.45 / $377.51	Professional	TC	$247.65	$318.45	$377.51
United Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $345.07 / $449.44	Professional		$213.81	$345.07	$449.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $63.62 / $114.56	Professional	26	$54.91	$63.62	$114.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.90 / $281.45 / $359.67	Professional	TC	$158.90	$281.45	$359.67