Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $431.44 / $1,506.92	Professional		$275.64	$431.44	$1,506.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.56 / $88.48 / $410.08	Professional	26	$76.56	$88.48	$410.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.16 / $351.12 / $662.30	Professional	TC	$187.16	$351.12	$662.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $445.88	Professional		$128.82	$128.82	$445.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $159.25	Facility	26	$128.82	$128.82	$159.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.14 / $521.28 / $864.87	Professional		$407.14	$521.28	$864.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.40 / $128.82 / $204.66	Professional	26	$84.40	$128.82	$204.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $283.95 / $424.22 / $619.96	Professional	TC	$283.95	$424.22	$619.96
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $159.25	Facility	26	$128.82	$128.82	$159.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.24 / $462.09 / $719.00	Professional		$277.24	$462.09	$719.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $84.40 / $128.82 / $170.64	Professional	26	$84.40	$128.82	$170.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $267.01 / $334.07 / $478.72	Professional	TC	$267.01	$334.07	$478.72
United Facility/Professional Professional Modifier Low / Median / High Price $255.84 / $437.26 / $546.29	Professional		$255.84	$437.26	$546.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.78 / $77.11 / $157.18	Professional	26	$75.78	$77.11	$157.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $175.30 / $298.86 / $469.18	Professional	TC	$175.30	$298.86	$469.18