Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.34 / $389.06 / $427.97	Professional		$215.34	$389.06	$427.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $69.23 / $263.37	Professional	26	$59.34	$69.23	$263.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.88 / $288.12 / $358.73	Professional	TC	$152.88	$288.12	$358.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $92.02 / $317.58	Professional		$92.02	$92.02	$317.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.02 / $92.02 / $113.75	Facility	26	$92.02	$92.02	$113.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $435.41 / $566.02	Professional		$317.58	$435.41	$566.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $92.02 / $160.62	Professional	26	$66.27	$92.02	$160.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.57 / $338.79 / $441.08	Professional	TC	$225.57	$338.79	$441.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $92.02 / $92.02 / $113.75	Facility	26	$92.02	$92.02	$113.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $348.06 / $512.02	Professional		$215.56	$348.06	$512.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $92.02 / $134.11	Professional	26	$66.27	$92.02	$134.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $225.57 / $274.93 / $343.79	Professional	TC	$225.57	$274.93	$343.79
United Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $323.14 / $553.52	Professional		$200.32	$323.14	$553.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.81 / $60.50 / $124.79	Professional	26	$59.81	$60.50	$124.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.51 / $251.91 / $316.83	Professional	TC	$140.51	$251.91	$316.83