Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.71 / $475.00 / $895.94	Professional		$362.71	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $409.25	Professional	26	$73.00	$140.00	$409.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.69 / $335.00 / $565.00	Professional	TC	$267.69	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $109.37 / $535.79	Professional		$109.37	$109.37	$535.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.37 / $109.37 / $135.19	Facility	26	$109.37	$109.37	$135.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $921.68 / $1,095.80	Professional		$535.26	$921.68	$1,095.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $109.37 / $176.19	Professional	26	$86.34	$109.37	$176.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $425.90 / $762.04 / $1,004.03	Professional	TC	$425.90	$762.04	$1,004.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $109.37 / $109.37 / $135.19	Facility	26	$109.37	$109.37	$135.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.07 / $586.83 / $928.15	Professional		$362.07	$586.83	$928.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $120.47 / $164.32	Professional	26	$86.34	$120.47	$164.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $425.90 / $679.99 / $836.61	Professional	TC	$425.90	$679.99	$836.61
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $606.67 / $892.00	Professional		$320.88	$606.67	$892.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $78.98 / $136.22	Professional	26	$64.73	$78.98	$136.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $459.25 / $757.25	Professional	TC	$256.14	$459.25	$757.25