Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.08 / $53.08 / $188.53	Facility	26	$53.08	$53.08	$188.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $316.16 / $1,095.00	Professional		$122.77	$316.16	$1,095.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.89 / $59.82 / $223.73	Professional	26	$51.89	$59.82	$223.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.19 / $259.17 / $285.08	Professional	TC	$124.19	$259.17	$285.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $270.26	Professional		$86.23	$86.23	$270.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.23 / $86.23 / $106.60	Facility	26	$86.23	$86.23	$106.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $353.80 / $461.19	Professional		$270.26	$353.80	$461.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.08 / $86.23 / $145.84	Professional	26	$59.08	$86.23	$145.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.03 / $270.63 / $359.81	Professional	TC	$184.03	$270.63	$359.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $86.23 / $86.23 / $106.60	Facility	26	$86.23	$86.23	$106.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $295.95 / $445.38	Professional		$181.21	$295.95	$445.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $59.08 / $86.23 / $121.78	Professional	26	$59.08	$86.23	$121.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $184.03 / $222.17 / $276.50	Professional	TC	$184.03	$222.17	$276.50
United Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $239.05 / $349.85	Professional		$169.33	$239.05	$349.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.17 / $54.54 / $112.19	Professional	26	$54.17	$54.54	$112.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.03 / $208.10 / $254.63	Professional	TC	$115.03	$208.10	$254.63