Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.33 / $475.00 / $2,715.60	Professional		$371.33	$475.00	$2,715.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.97 / $140.00 / $544.00	Professional	26	$104.97	$140.00	$544.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.73 / $335.00 / $825.76	Professional	TC	$262.73	$335.00	$825.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $161.94 / $546.30	Professional		$161.94	$161.94	$546.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.94 / $161.94 / $200.20	Facility	26	$161.94	$161.94	$200.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.30 / $825.86 / $1,156.90	Professional		$546.30	$825.86	$1,156.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.94 / $161.94 / $255.24	Professional	26	$107.94	$161.94	$255.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $384.36 / $637.29 / $1,041.66	Professional	TC	$384.36	$637.29	$1,041.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $161.94 / $161.94 / $200.20	Facility	26	$161.94	$161.94	$200.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.33 / $596.72 / $906.30	Professional		$374.33	$596.72	$906.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $107.94 / $161.94 / $219.43	Professional	26	$107.94	$161.94	$219.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $384.36 / $524.05 / $866.53	Professional	TC	$384.36	$524.05	$866.53
United Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $573.44 / $815.23	Professional		$337.13	$573.44	$815.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $99.04 / $196.49	Professional	26	$95.10	$99.04	$196.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.03 / $457.61 / $690.98	Professional	TC	$242.03	$457.61	$690.98