Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $475.00 / $638.00	Professional		$233.74	$475.00	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.33 / $140.00 / $322.00	Professional	26	$57.33	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.41 / $335.00 / $565.00	Professional	TC	$176.41	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $88.33 / $368.59	Professional		$88.33	$88.33	$368.59
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 $368.59 / $549.89 / $804.83	Professional		$368.59	$549.89	$804.83
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 $280.25 / $457.25 / $550.25	Professional	TC	$280.25	$457.25	$550.25
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 $249.56 / $404.65 / $629.72	Professional		$249.56	$404.65	$629.72
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 $280.25 / $439.06 / $530.78	Professional	TC	$280.25	$439.06	$530.78
United Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $418.19 / $576.64	Professional		$221.18	$418.19	$576.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.05 / $52.66 / $107.75	Professional	26	$52.05	$52.66	$107.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.03 / $319.58 / $486.00	Professional	TC	$169.03	$319.58	$486.00