Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $282.06 / $679.96	Professional		$184.91	$282.06	$679.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.24 / $257.24	Professional	26	$52.46	$61.24	$257.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.66 / $229.59 / $285.86	Professional	TC	$106.66	$229.59	$285.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $89.91 / $272.89	Professional		$89.91	$89.91	$272.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.91 / $89.91 / $111.15	Facility	26	$89.91	$89.91	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $373.64 / $516.86	Professional		$272.89	$373.64	$516.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $89.91 / $142.66	Professional	26	$57.95	$89.91	$142.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.98 / $274.92 / $369.69	Professional	TC	$182.98	$274.92	$369.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $89.91 / $89.91 / $111.15	Facility	26	$89.91	$89.91	$111.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.01 / $299.22 / $449.71	Professional		$184.01	$299.22	$449.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $89.91 / $119.04	Professional	26	$57.95	$89.91	$119.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $182.98 / $272.38 / $293.29	Professional	TC	$182.98	$272.38	$293.29
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $262.33 / $351.99	Professional		$168.72	$262.33	$351.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $53.61 / $109.66	Professional	26	$52.96	$53.61	$109.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.64 / $198.47 / $249.10	Professional	TC	$115.64	$198.47	$249.10