Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $475.00 / $2,051.52	Professional		$327.20	$475.00	$2,051.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.31 / $140.00 / $342.90	Professional	26	$78.31	$140.00	$342.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.20 / $335.00 / $565.00	Professional	TC	$264.20	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.41 / $120.41 / $508.45	Professional		$120.41	$120.41	$508.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.41 / $120.41 / $148.85	Facility	26	$120.41	$120.41	$148.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.18 / $625.29 / $860.38	Professional		$494.18	$625.29	$860.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.63 / $120.41 / $191.47	Professional	26	$77.63	$120.41	$191.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $385.43 / $500.03 / $666.77	Professional	TC	$385.43	$500.03	$666.77
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $120.41 / $120.41 / $148.85	Facility	26	$120.41	$120.41	$148.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.34 / $537.58 / $837.91	Professional		$346.34	$537.58	$837.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $77.63 / $120.41 / $158.99	Professional	26	$77.63	$120.41	$158.99
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $385.43 / $482.48 / $583.02	Professional	TC	$385.43	$482.48	$583.02
United Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $451.32 / $652.17	Professional		$315.66	$451.32	$652.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.61 / $71.17 / $147.05	Professional	26	$70.61	$71.17	$147.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.49 / $380.17 / $510.07	Professional	TC	$244.49	$380.17	$510.07