Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.31 / $475.00 / $638.00	Professional		$368.31	$475.00	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.87 / $140.00 / $397.47	Professional	26	$85.87	$140.00	$397.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $277.77 / $335.00 / $565.00	Professional	TC	$277.77	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $131.97 / $541.57	Professional		$131.97	$131.97	$541.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.97 / $131.97 / $163.15	Facility	26	$131.97	$131.97	$163.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.95 / $592.28 / $907.52	Professional		$519.95	$592.28	$907.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $131.97 / $209.72	Professional	26	$87.05	$131.97	$209.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $399.94 / $492.65 / $688.52	Professional	TC	$399.94	$492.65	$688.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $131.97 / $131.97 / $163.15	Facility	26	$131.97	$131.97	$163.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $568.32 / $874.87	Professional		$363.84	$568.32	$874.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $131.97 / $176.12	Professional	26	$87.05	$131.97	$176.12
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $399.94 / $480.61 / $615.41	Professional	TC	$399.94	$480.61	$615.41
United Facility/Professional Professional Modifier Low / Median / High Price $331.61 / $504.29 / $685.14	Professional		$331.61	$504.29	$685.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $79.93 / $160.99	Professional	26	$77.61	$79.93	$160.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.69 / $424.36 / $524.15	Professional	TC	$253.69	$424.36	$524.15