Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $343.39 / $1,361.63	Professional		$213.49	$343.39	$1,361.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.24 / $79.37	Professional	26	$52.46	$61.24	$79.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.22 / $239.23 / $362.21	Professional	TC	$159.22	$239.23	$362.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $409.07	Professional		$89.39	$89.39	$409.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.39 / $89.39 / $110.50	Facility	26	$89.39	$89.39	$110.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.56 / $424.28 / $615.17	Professional		$339.56	$424.28	$615.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $89.39 / $142.66	Professional	26	$57.95	$89.39	$142.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.54 / $338.79 / $480.32	Professional	TC	$258.54	$338.79	$480.32
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $89.39 / $89.39 / $110.50	Facility	26	$89.39	$89.39	$110.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.45 / $424.28 / $663.70	Professional		$259.45	$424.28	$663.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $89.39 / $119.04	Professional	26	$57.95	$89.39	$119.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $258.54 / $323.58 / $480.32	Professional	TC	$258.54	$323.58	$480.32
United Facility/Professional Professional Modifier Low / Median / High Price $234.98 / $317.18 / $485.50	Professional		$234.98	$317.18	$485.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $53.59 / $109.66	Professional	26	$52.96	$53.59	$109.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.12 / $263.58 / $375.84	Professional	TC	$170.12	$263.58	$375.84