Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $438.99 / $438.99 / $438.99	Facility	26	$438.99	$438.99	$438.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $475.00 / $2,219.00	Professional		$334.68	$475.00	$2,219.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.94 / $156.35 / $513.24	Professional	26	$108.94	$156.35	$513.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $164.93 / $202.92 / $1,056.52	Professional	52	$164.93	$202.92	$1,056.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.47 / $335.00 / $688.86	Professional	TC	$236.47	$335.00	$688.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $168.78 / $516.34	Professional		$168.78	$168.78	$516.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.78 / $168.78 / $208.65	Facility	26	$168.78	$168.78	$208.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.34 / $775.78 / $1,166.43	Professional		$516.34	$775.78	$1,166.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.86 / $168.78 / $267.92	Professional	26	$112.86	$168.78	$267.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $347.55 / $522.19 / $1,046.32	Professional	TC	$347.55	$522.19	$1,046.32
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $168.78 / $168.78 / $208.65	Facility	26	$168.78	$168.78	$208.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $539.74 / $899.00	Professional		$342.87	$539.74	$899.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $112.86 / $168.78 / $230.54	Professional	26	$112.86	$168.78	$230.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $340.45 / $426.02 / $868.61	Professional	TC	$340.45	$426.02	$868.61
United Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $562.86 / $814.67	Professional		$315.04	$562.86	$814.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.52 / $103.43 / $205.98	Professional	26	$99.52	$103.43	$205.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.34 / $389.55 / $563.65	Professional	TC	$215.34	$389.55	$563.65