Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.72 / $475.00 / $1,828.29	Professional		$246.72	$475.00	$1,828.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.67 / $140.00 / $335.00	Professional	26	$64.67	$140.00	$335.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.80 / $335.00 / $596.05	Professional	TC	$178.80	$335.00	$596.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $99.38 / $362.28	Professional		$99.38	$99.38	$362.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.38 / $99.38 / $122.85	Facility	26	$99.38	$99.38	$122.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.28 / $543.39 / $703.05	Professional		$362.28	$543.39	$703.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $99.38 / $157.35	Professional	26	$64.39	$99.38	$157.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.89 / $442.29 / $527.78	Professional	TC	$262.89	$442.29	$527.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $99.38 / $99.38 / $122.85	Facility	26	$99.38	$99.38	$122.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $394.96 / $594.79	Professional		$247.10	$394.96	$594.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $99.38 / $132.13	Professional	26	$64.39	$99.38	$132.13
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $262.89 / $396.86 / $483.64	Professional	TC	$262.89	$396.86	$483.64
United Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $398.75 / $543.24	Professional		$222.40	$398.75	$543.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $59.24 / $121.05	Professional	26	$58.59	$59.24	$121.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.81 / $309.72 / $440.95	Professional	TC	$163.81	$309.72	$440.95