Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.82 / $438.26 / $482.09	Professional		$281.82	$438.26	$482.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $96.23 / $403.20	Professional	26	$82.39	$96.23	$403.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.16 / $317.89 / $385.85	Professional	TC	$187.16	$317.89	$385.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $138.81 / $522.65	Professional		$138.81	$138.81	$522.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.81 / $138.81 / $171.60	Facility	26	$138.81	$138.81	$171.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.93 / $541.85 / $824.46	Professional		$419.93	$541.85	$824.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.58 / $138.81 / $219.54	Professional	26	$91.58	$138.81	$219.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $318.01 / $416.71 / $594.00	Professional	TC	$318.01	$416.71	$594.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $138.81 / $138.81 / $171.60	Facility	26	$138.81	$138.81	$171.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $545.66 / $844.70	Professional		$327.38	$545.66	$844.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $91.58 / $138.81 / $185.10	Professional	26	$91.58	$138.81	$185.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $333.01 / $415.45 / $576.70	Professional	TC	$333.01	$415.45	$576.70
United Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $433.14 / $633.80	Professional		$306.77	$433.14	$633.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.59 / $84.31 / $168.60	Professional	26	$81.59	$84.31	$168.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.17 / $348.83 / $465.21	Professional	TC	$225.17	$348.83	$465.21