Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $475.00 / $1,781.34	Professional		$285.62	$475.00	$1,781.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $181.80	Professional	26	$85.00	$140.00	$181.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.14 / $335.00 / $565.00	Professional	TC	$200.14	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $132.50 / $446.93	Professional		$132.50	$132.50	$446.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $163.80	Facility	26	$132.50	$132.50	$163.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.73 / $621.73 / $865.43	Professional		$435.73	$621.73	$865.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.01 / $132.50 / $209.42	Professional	26	$92.01	$132.50	$209.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $314.43 / $470.90 / $623.51	Professional	TC	$314.43	$470.90	$623.51
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $163.80	Facility	26	$132.50	$132.50	$163.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.60 / $468.03 / $736.53	Professional		$294.60	$468.03	$736.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $92.01 / $132.50 / $188.53	Professional	26	$92.01	$132.50	$188.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $303.16 / $379.46 / $529.72	Professional	TC	$303.16	$379.46	$529.72
United Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $467.83 / $568.33	Professional		$272.41	$467.83	$568.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.92 / $84.00 / $196.35	Professional	26	$77.92	$84.00	$196.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.49 / $348.70 / $479.93	Professional	TC	$194.49	$348.70	$479.93