Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $475.00 / $2,713.39	Professional		$322.00	$475.00	$2,713.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.65 / $141.96 / $548.00	Professional	26	$100.65	$141.96	$548.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.84 / $335.00 / $565.00	Professional	TC	$248.84	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $158.27 / $546.83	Professional		$158.27	$158.27	$546.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.27 / $158.27 / $195.65	Facility	26	$158.27	$158.27	$195.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.83 / $821.60 / $1,149.67	Professional		$546.83	$821.60	$1,149.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $158.27 / $249.54	Professional	26	$102.63	$158.27	$249.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $388.57 / $641.36 / $1,040.13	Professional	TC	$388.57	$641.36	$1,040.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $158.27 / $158.27 / $195.65	Facility	26	$158.27	$158.27	$195.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.33 / $597.40 / $901.16	Professional		$374.33	$597.40	$901.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $158.27 / $209.15	Professional	26	$102.63	$158.27	$209.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $388.57 / $527.58 / $865.63	Professional	TC	$388.57	$527.58	$865.63
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $475.51 / $748.88	Professional		$336.82	$475.51	$748.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.95 / $94.34 / $193.92	Professional	26	$92.95	$94.34	$193.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.87 / $405.44 / $644.38	Professional	TC	$243.87	$405.44	$644.38