Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.05 / $475.00 / $2,187.03	Professional		$370.05	$475.00	$2,187.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.57 / $131.28 / $140.00	Professional	26	$85.57	$131.28	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.87 / $335.00 / $565.00	Professional	TC	$260.87	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $132.50 / $544.73	Professional		$132.50	$132.50	$544.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $163.80	Facility	26	$132.50	$132.50	$163.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $589.60 / $912.94	Professional		$526.46	$589.60	$912.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.09 / $132.50 / $210.57	Professional	26	$87.09	$132.50	$210.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $405.98 / $489.86 / $693.39	Professional	TC	$405.98	$489.86	$693.39
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $163.80	Facility	26	$132.50	$132.50	$163.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $568.86 / $879.06	Professional		$368.46	$568.86	$879.06
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $87.09 / $132.50 / $176.12	Professional	26	$87.09	$132.50	$176.12
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $405.98 / $477.77 / $619.36	Professional	TC	$405.98	$477.77	$619.36
United Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $502.72 / $689.56	Professional		$333.75	$502.72	$689.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.22 / $79.93 / $161.62	Professional	26	$78.22	$79.93	$161.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $422.79 / $735.39	Professional	TC	$255.52	$422.79	$735.39