Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $272.22 / $802.56	Professional		$192.27	$272.22	$802.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.49 / $284.00	Professional	26	$50.07	$58.49	$284.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.11 / $222.12 / $276.56	Professional	TC	$141.11	$222.12	$276.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $85.71 / $324.94	Professional		$85.71	$85.71	$324.94
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 $290.29 / $332.46 / $517.23	Professional		$290.29	$332.46	$517.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $85.71 / $135.07	Professional	26	$55.30	$85.71	$135.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.99 / $256.52 / $374.70	Professional	TC	$212.99	$256.52	$374.70
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 $203.48 / $339.16 / $526.26	Professional		$203.48	$339.16	$526.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $85.71 / $113.56	Professional	26	$55.30	$85.71	$113.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $212.99 / $262.54 / $359.45	Professional	TC	$212.99	$262.54	$359.45
United Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $251.05 / $396.76	Professional		$192.03	$251.05	$396.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $51.09 / $103.95	Professional	26	$50.31	$51.09	$103.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.72 / $199.96 / $292.81	Professional	TC	$141.72	$199.96	$292.81