Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.17 / $299.31 / $1,183.00	Professional		$245.17	$299.31	$1,183.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.45 / $58.92 / $228.00	Professional	26	$51.45	$58.92	$228.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.85 / $246.13 / $270.75	Professional	TC	$186.85	$246.13	$270.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $85.71 / $370.69	Professional		$85.71	$85.71	$370.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $105.95	Facility	26	$85.71	$85.71	$105.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.65 / $370.69 / $556.95	Professional		$246.65	$370.69	$556.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $85.71 / $135.07	Professional	26	$55.65	$85.71	$135.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.59 / $282.64 / $428.18	Professional	TC	$184.59	$282.64	$428.18
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $105.95	Facility	26	$85.71	$85.71	$105.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $370.69 / $602.52	Professional		$235.18	$370.69	$602.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $85.71 / $113.56	Professional	26	$55.65	$85.71	$113.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $217.17 / $277.27 / $428.18	Professional	TC	$217.17	$277.27	$428.18
United Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $248.85 / $431.62	Professional		$208.90	$248.85	$431.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $51.09 / $151.72	Professional	26	$50.31	$51.09	$151.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.59 / $197.76 / $327.67	Professional	TC	$158.59	$197.76	$327.67