Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.31 / $380.45 / $1,415.64	Professional		$243.31	$380.45	$1,415.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $80.97 / $341.09	Professional	26	$62.17	$80.97	$341.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $277.86 / $345.93	Professional	TC	$162.34	$277.86	$345.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $118.83 / $357.54	Professional		$118.83	$118.83	$357.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.83 / $118.83 / $146.90	Facility	26	$118.83	$118.83	$146.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.49 / $400.86 / $569.29	Professional		$357.49	$400.86	$569.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $107.18 / $190.72	Professional	26	$69.31	$107.18	$190.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.71 / $312.89 / $447.34	Professional	TC	$238.71	$312.89	$447.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $118.83 / $118.83 / $146.90	Facility	26	$118.83	$118.83	$146.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $373.13 / $577.38	Professional		$242.55	$373.13	$577.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $118.83 / $141.04	Professional	26	$69.31	$118.83	$141.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $238.71 / $270.82 / $358.66	Professional	TC	$238.71	$270.82	$358.66
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $314.36 / $440.96	Professional		$211.36	$314.36	$440.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.99 / $70.86 / $146.41	Professional	26	$62.99	$70.86	$146.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.50 / $241.58 / $304.76	Professional	TC	$140.50	$241.58	$304.76