Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.99 / $333.40 / $393.43	Professional		$185.99	$333.40	$393.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $57.52 / $140.84	Professional	26	$52.78	$57.52	$140.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.72 / $245.14 / $337.38	Professional	TC	$131.72	$245.14	$337.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $316.01	Professional		$89.39	$89.39	$316.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.39 / $89.39 / $110.50	Facility	26	$89.39	$89.39	$110.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.01 / $403.11 / $613.09	Professional		$316.01	$403.11	$613.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.30 / $89.39 / $141.93	Professional	26	$58.30	$89.39	$141.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.62 / $330.61 / $479.91	Professional	TC	$226.62	$330.61	$479.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $89.39 / $89.39 / $110.50	Facility	26	$89.39	$89.39	$110.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $346.78 / $508.67	Professional		$213.10	$346.78	$508.67
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.30 / $89.39 / $119.04	Professional	26	$58.30	$89.39	$119.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $226.62 / $328.81 / $353.48	Professional	TC	$226.62	$328.81	$353.48
United Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $321.57 / $550.77	Professional		$201.24	$321.57	$550.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $53.60 / $109.01	Professional	26	$52.65	$53.60	$109.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.47 / $267.97 / $317.47	Professional	TC	$148.47	$267.97	$317.47