Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $475.00 / $895.94	Professional		$315.86	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $264.06	Professional	26	$73.00	$140.00	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.11 / $335.00 / $565.00	Professional	TC	$242.11	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $107.79 / $548.41	Professional		$107.79	$107.79	$548.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.79 / $107.79 / $133.25	Facility	26	$107.79	$107.79	$133.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.27 / $578.23 / $935.63	Professional		$460.27	$578.23	$935.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.70 / $107.69 / $171.71	Professional	26	$69.70	$107.69	$171.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $380.68 / $499.21 / $757.52	Professional	TC	$380.68	$499.21	$757.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $107.79 / $107.79 / $133.25	Facility	26	$107.79	$107.79	$133.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.84 / $581.26 / $890.79	Professional		$377.84	$581.26	$890.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.70 / $107.79 / $141.72	Professional	26	$69.70	$107.79	$141.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $440.62 / $496.39 / $662.02	Professional	TC	$440.62	$496.39	$662.02
United Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $473.58 / $893.97	Professional		$342.35	$473.58	$893.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.30 / $63.94 / $131.84	Professional	26	$63.30	$63.94	$131.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.54 / $409.64 / $575.48	Professional	TC	$278.54	$409.64	$575.48