Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.98 / $475.00 / $2,537.96	Professional		$403.98	$475.00	$2,537.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.45 / $140.00 / $509.00	Professional	26	$100.45	$140.00	$509.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $319.44 / $335.00 / $1,504.83	Professional	TC	$319.44	$335.00	$1,504.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.79 / $158.79 / $625.70	Professional		$158.79	$158.79	$625.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.79 / $158.79 / $196.30	Facility	26	$158.79	$158.79	$196.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.91 / $874.29 / $1,135.19	Professional		$611.91	$874.29	$1,135.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.99 / $158.79 / $250.28	Professional	26	$102.99	$158.79	$250.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $466.91 / $701.52 / $1,025.21	Professional	TC	$466.91	$701.52	$1,025.21
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $158.79 / $158.79 / $196.30	Facility	26	$158.79	$158.79	$196.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.67 / $663.22 / $1,031.14	Professional		$430.67	$663.22	$1,031.14
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.99 / $158.79 / $209.84	Professional	26	$102.99	$158.79	$209.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $466.91 / $590.15 / $853.15	Professional	TC	$466.91	$590.15	$853.15
United Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $609.29 / $1,122.02	Professional		$389.59	$609.29	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.25 / $94.34 / $192.67	Professional	26	$93.25	$94.34	$192.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.33 / $492.66 / $618.24	Professional	TC	$296.33	$492.66	$618.24