Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.28 / $475.00 / $2,137.17	Professional		$405.28	$475.00	$2,137.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.82 / $140.00 / $504.00	Professional	26	$102.82	$140.00	$504.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $320.49 / $340.00 / $1,967.74	Professional	TC	$320.49	$340.00	$1,967.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $159.32 / $628.33	Professional		$159.32	$159.32	$628.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.32 / $159.32 / $196.95	Facility	26	$159.32	$159.32	$196.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.64 / $874.29 / $1,135.63	Professional		$612.64	$874.29	$1,135.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $159.24 / $250.28	Professional	26	$102.63	$159.24	$250.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $468.73 / $704.68 / $1,025.65	Professional	TC	$468.73	$704.68	$1,025.65
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $159.32 / $159.32 / $196.95	Facility	26	$159.32	$159.32	$196.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.67 / $665.37 / $1,035.47	Professional		$428.67	$665.37	$1,035.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $159.32 / $209.84	Professional	26	$102.63	$159.32	$209.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $468.73 / $586.66 / $853.52	Professional	TC	$468.73	$586.66	$853.52
United Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $610.54 / $806.19	Professional		$390.20	$610.54	$806.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.25 / $94.03 / $192.67	Professional	26	$93.25	$94.03	$192.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.95 / $516.51 / $619.52	Professional	TC	$296.95	$516.51	$619.52