Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.68 / $476.10 / $2,713.27	Professional		$428.68	$476.10	$2,713.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.82 / $140.00 / $519.00	Professional	26	$102.82	$140.00	$519.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $330.94 / $368.50 / $630.13	Professional	TC	$330.94	$368.50	$630.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.79 / $158.79 / $665.14	Professional		$158.79	$158.79	$665.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.79 / $158.79 / $196.30	Facility	26	$158.79	$158.79	$196.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.16 / $900.57 / $1,158.00	Professional		$652.16	$900.57	$1,158.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.99 / $158.79 / $250.28	Professional	26	$102.99	$158.79	$250.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $506.35 / $760.77 / $1,040.57	Professional	TC	$506.35	$760.77	$1,040.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $158.79 / $158.79 / $196.30	Facility	26	$158.79	$158.79	$196.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.90 / $704.20 / $1,096.11	Professional		$456.90	$704.20	$1,096.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.99 / $158.79 / $209.84	Professional	26	$102.99	$158.79	$209.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $506.35 / $636.13 / $866.00	Professional	TC	$506.35	$636.13	$866.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $640.30 / $1,001.12	Professional		$413.52	$640.30	$1,001.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.26 / $94.34 / $192.67	Professional	26	$93.26	$94.34	$192.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.26 / $532.44 / $668.16	Professional	TC	$320.26	$532.44	$668.16