Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $335.70 / $383.66	Professional		$188.79	$335.70	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $64.14 / $92.28	Professional	26	$54.56	$64.14	$92.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.03 / $243.40 / $325.76	Professional	TC	$132.03	$243.40	$325.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $93.59 / $320.20	Professional		$93.59	$93.59	$320.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $93.59 / $115.70	Facility	26	$93.59	$93.59	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.20 / $441.16 / $606.53	Professional		$320.20	$441.16	$606.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $93.59 / $147.63	Professional	26	$60.97	$93.59	$147.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.62 / $340.58 / $463.37	Professional	TC	$226.62	$340.58	$463.37
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $93.59 / $115.70	Facility	26	$93.59	$93.59	$115.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.26 / $351.39 / $516.21	Professional		$216.26	$351.39	$516.21
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $93.59 / $123.15	Professional	26	$60.97	$93.59	$123.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $226.62 / $335.81 / $361.82	Professional	TC	$226.62	$335.81	$361.82
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $318.44 / $412.80	Professional		$197.86	$318.44	$412.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $55.80 / $113.45	Professional	26	$54.91	$55.80	$113.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $237.66 / $394.27	Professional	TC	$142.94	$237.66	$394.27