Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $285.83 / $1,906.74 / $1,906.74	Facility	26	$285.83	$1,906.74	$1,906.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $475.00 / $1,282.50	Professional		$208.99	$475.00	$1,282.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.51 / $140.00 / $343.49	Professional	26	$69.51	$140.00	$343.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.96 / $187.50 / $628.48	Professional	52	$98.96	$187.50	$628.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.74 / $335.00 / $565.00	Professional	TC	$135.74	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $109.89 / $310.22	Professional		$109.89	$109.89	$310.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.89 / $109.89 / $135.85	Facility	26	$109.89	$109.89	$135.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $466.10 / $644.51	Professional		$307.70	$466.10	$644.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $109.89 / $174.14	Professional	26	$70.81	$109.89	$174.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.14 / $300.99 / $557.29	Professional	TC	$191.14	$300.99	$557.29
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $109.89 / $109.89 / $135.85	Facility	26	$109.89	$109.89	$135.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.15 / $323.52 / $528.00	Professional		$201.15	$323.52	$528.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $109.89 / $145.97	Professional	26	$70.81	$109.89	$145.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $191.14 / $239.20 / $462.91	Professional	TC	$191.14	$239.20	$462.91
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $336.60 / $471.87	Professional		$187.74	$336.60	$471.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.53 / $65.20 / $133.74	Professional	26	$64.53	$65.20	$133.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.01 / $219.94 / $333.15	Professional	TC	$123.01	$219.94	$333.15