Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.09 / $388.27 / $1,146.96	Professional		$239.09	$388.27	$1,146.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $91.56 / $326.13	Professional	26	$78.34	$91.56	$326.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.53 / $309.93 / $385.85	Professional	TC	$159.53	$309.93	$385.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $131.97 / $492.67	Professional		$131.97	$131.97	$492.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.97 / $131.97 / $163.15	Facility	26	$131.97	$131.97	$163.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.71 / $507.06 / $740.23	Professional		$397.71	$507.06	$740.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $131.97 / $209.72	Professional	26	$87.05	$131.97	$209.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $286.42 / $378.62 / $541.94	Professional	TC	$286.42	$378.62	$541.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $131.97 / $131.97 / $163.15	Facility	26	$131.97	$131.97	$163.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $496.45 / $796.94	Professional		$309.58	$496.45	$796.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $131.97 / $176.95	Professional	26	$87.05	$131.97	$176.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $277.23 / $360.70 / $541.94	Professional	TC	$277.23	$360.70	$541.94
United Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $414.66 / $688.91	Professional		$270.80	$414.66	$688.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.92 / $80.23 / $160.99	Professional	26	$77.92	$80.23	$160.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.43 / $329.77 / $414.49	Professional	TC	$192.43	$329.77	$414.49