Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $475.00 / $895.94	Professional		$237.08	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.65 / $140.00 / $309.00	Professional	26	$57.65	$140.00	$309.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.70 / $335.00 / $565.00	Professional	TC	$176.70	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $88.33 / $350.18	Professional		$88.33	$88.33	$350.18
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 $350.18 / $546.91 / $679.90	Professional		$350.18	$546.91	$679.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.20 / $88.33 / $140.97	Professional	26	$57.20	$88.33	$140.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.85 / $462.05 / $550.69	Professional	TC	$261.85	$462.05	$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 $237.29 / $384.06 / $608.28	Professional		$237.29	$384.06	$608.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.20 / $88.33 / $117.67	Professional	26	$57.20	$88.33	$117.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $261.85 / $446.10 / $543.59	Professional	TC	$261.85	$446.10	$543.59
United Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $401.94 / $586.19	Professional		$212.59	$401.94	$586.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.34 / $52.66 / $108.37	Professional	26	$52.34	$52.66	$108.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $302.76 / $495.03	Professional	TC	$160.13	$302.76	$495.03