Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $283.45 / $338.16	Professional		$158.72	$283.45	$338.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.45 / $59.86 / $288.00	Professional	26	$51.45	$59.86	$288.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.54 / $224.62 / $279.66	Professional	TC	$124.54	$224.62	$279.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $85.71 / $269.74	Professional		$85.71	$85.71	$269.74
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 $269.74 / $332.03 / $512.38	Professional		$269.74	$332.03	$512.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $85.71 / $135.07	Professional	26	$55.65	$85.71	$135.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.03 / $257.32 / $361.67	Professional	TC	$184.03	$257.32	$361.67
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 $181.56 / $295.37 / $444.51	Professional		$181.56	$295.37	$444.51
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $85.71 / $113.56	Professional	26	$55.65	$85.71	$113.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $184.03 / $250.62 / $277.27	Professional	TC	$184.03	$250.62	$277.27
United Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $252.93 / $348.80	Professional		$167.19	$252.93	$348.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $51.09 / $104.97	Professional	26	$50.31	$51.09	$104.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $201.84 / $327.45	Professional	TC	$116.88	$201.84	$327.45