Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.94 / $86.94 / $346.18	Facility	26	$86.94	$86.94	$346.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.73 / $438.87 / $1,803.60	Professional		$278.73	$438.87	$1,803.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.65 / $94.33 / $384.30	Professional	26	$82.65	$94.33	$384.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.16 / $350.77 / $512.30	Professional	TC	$187.16	$350.77	$512.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $134.08 / $455.34	Professional		$134.08	$134.08	$455.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.08 / $134.08 / $165.75	Facility	26	$134.08	$134.08	$165.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.13 / $501.62 / $704.61	Professional		$392.13	$501.62	$704.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.37 / $134.08 / $212.79	Professional	26	$92.37	$134.08	$212.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $287.42 / $375.05 / $561.57	Professional	TC	$287.42	$375.05	$561.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $134.08 / $134.08 / $165.75	Facility	26	$134.08	$134.08	$165.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $472.34 / $733.25	Professional		$283.39	$472.34	$733.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $92.37 / $134.08 / $187.16	Professional	26	$92.37	$134.08	$187.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $270.26 / $338.14 / $482.69	Professional	TC	$270.26	$338.14	$482.69
United Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $430.02 / $540.62	Professional		$261.66	$430.02	$540.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $84.32 / $163.52	Professional	26	$78.81	$84.32	$163.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.38 / $303.44 / $482.25	Professional	TC	$179.38	$303.44	$482.25