Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $2,769.29	Professional		$475.00	$522.50	$2,769.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.60 / $140.00 / $322.00	Professional	26	$107.60	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $638.59	Professional	TC	$335.00	$368.50	$638.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $166.68 / $765.04	Professional		$166.68	$166.68	$765.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.68 / $166.68 / $206.05	Facility	26	$166.68	$166.68	$206.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.65 / $961.95 / $1,309.14	Professional		$668.65	$961.95	$1,309.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.29 / $166.68 / $261.79	Professional	26	$108.29	$166.68	$261.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $556.65 / $853.18 / $1,075.07	Professional	TC	$556.65	$853.18	$1,075.07
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $166.68 / $166.68 / $206.05	Facility	26	$166.68	$166.68	$206.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.50 / $811.50 / $1,242.75	Professional		$527.50	$811.50	$1,242.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $108.29 / $166.68 / $219.43	Professional	26	$108.29	$166.68	$219.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $598.36 / $757.76 / $899.02	Professional	TC	$598.36	$757.76	$899.02
United Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $718.98 / $1,069.16	Professional		$477.94	$718.98	$1,069.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.55 / $99.36 / $201.54	Professional	26	$97.55	$99.36	$201.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.39 / $619.62 / $1,002.55	Professional	TC	$380.39	$619.62	$1,002.55