Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $475.00 / $638.00	Professional		$236.73	$475.00	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $140.00 / $349.88	Professional	26	$60.39	$140.00	$349.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.35 / $335.00 / $565.00	Professional	TC	$176.35	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $88.33 / $349.66	Professional		$88.33	$88.33	$349.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.33 / $88.33 / $109.20	Facility	26	$88.33	$88.33	$109.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.66 / $545.84 / $678.87	Professional		$349.66	$545.84	$678.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.56 / $88.33 / $140.24	Professional	26	$57.56	$88.33	$140.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.32 / $459.58 / $550.69	Professional	TC	$261.32	$459.58	$550.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $88.33 / $88.33 / $109.20	Facility	26	$88.33	$88.33	$109.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $382.88 / $606.49	Professional		$236.59	$382.88	$606.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.56 / $88.33 / $116.98	Professional	26	$57.56	$88.33	$116.98
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $261.32 / $443.75 / $540.67	Professional	TC	$261.32	$443.75	$540.67
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $400.20 / $584.05	Professional		$211.67	$400.20	$584.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.15 / $52.66 / $107.74	Professional	26	$52.15	$52.66	$107.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.52 / $301.60 / $492.90	Professional	TC	$159.52	$301.60	$492.90