Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $475.00 / $2,129.19	Professional		$346.23	$475.00	$2,129.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.31 / $140.00 / $404.00	Professional	26	$78.31	$140.00	$404.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.56 / $335.00 / $565.00	Professional	TC	$264.56	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $119.88 / $508.97	Professional		$119.88	$119.88	$508.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.88 / $119.88 / $148.19	Facility	26	$119.88	$119.88	$148.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.47 / $627.69 / $864.44	Professional		$498.47	$627.69	$864.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.63 / $119.88 / $191.47	Professional	26	$77.63	$119.88	$191.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.09 / $503.23 / $678.79	Professional	TC	$389.09	$503.23	$678.79
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $119.88 / $119.88 / $148.19	Facility	26	$119.88	$119.88	$148.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.26 / $538.66 / $838.77	Professional		$349.26	$538.66	$838.77
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $77.63 / $119.88 / $160.43	Professional	26	$77.63	$119.88	$160.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $389.09 / $487.13 / $584.60	Professional	TC	$389.09	$487.13	$584.60
United Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $456.03 / $653.44	Professional		$316.27	$456.03	$653.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.61 / $71.78 / $147.05	Professional	26	$70.61	$71.78	$147.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.10 / $384.25 / $506.39	Professional	TC	$245.10	$384.25	$506.39