Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.49 / $475.00 / $2,360.69	Professional		$353.49	$475.00	$2,360.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.27 / $154.00 / $567.02	Professional	26	$109.27	$154.00	$567.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.22 / $335.00 / $565.00	Professional	TC	$238.22	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.31 / $169.31 / $518.96	Professional		$169.31	$169.31	$518.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.31 / $169.31 / $209.30	Facility	26	$169.31	$169.31	$209.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.96 / $779.73 / $1,173.84	Professional		$518.96	$779.73	$1,173.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.70 / $169.31 / $267.92	Professional	26	$122.70	$169.31	$267.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $349.66 / $525.35 / $1,042.81	Professional	TC	$349.66	$525.35	$1,042.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $169.31 / $169.31 / $209.30	Facility	26	$169.31	$169.31	$209.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.86 / $542.97 / $899.00	Professional		$344.86	$542.97	$899.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $122.70 / $169.31 / $251.92	Professional	26	$122.70	$169.31	$251.92
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $343.23 / $429.52 / $865.67	Professional	TC	$343.23	$429.52	$865.67
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $565.51 / $706.75	Professional		$317.50	$565.51	$706.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $113.14 / $205.99	Professional	26	$99.70	$113.14	$205.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.80 / $392.20 / $552.97	Professional	TC	$217.80	$392.20	$552.97