Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.72 / $475.00 / $1,908.74	Professional		$285.72	$475.00	$1,908.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.41 / $140.00 / $331.00	Professional	26	$72.41	$140.00	$331.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.77 / $335.00 / $565.00	Professional	TC	$242.77	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $100.43 / $492.67	Professional		$100.43	$100.43	$492.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.43 / $100.43 / $124.15	Facility	26	$100.43	$100.43	$124.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.90 / $568.70 / $829.94	Professional		$419.90	$568.70	$829.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $100.11 / $158.09	Professional	26	$64.39	$100.11	$158.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $348.79 / $482.39 / $666.77	Professional	TC	$348.79	$482.39	$666.77
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $100.43 / $100.43 / $124.15	Facility	26	$100.43	$100.43	$124.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $520.33 / $800.29	Professional		$333.75	$520.33	$800.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $100.43 / $132.06	Professional	26	$64.39	$100.43	$132.06
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $385.53 / $465.16 / $589.34	Professional	TC	$385.53	$465.16	$589.34
United Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $432.83 / $629.36	Professional		$304.61	$432.83	$629.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.61 / $58.90 / $121.69	Professional	26	$58.61	$58.90	$121.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.71 / $374.22 / $512.64	Professional	TC	$245.71	$374.22	$512.64