Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $335.54 / $335.54 / $585.49	Facility	26	$335.54	$335.54	$585.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.32 / $541.83 / $1,021.03	Professional		$418.32	$541.83	$1,021.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $116.45 / $482.98	Professional	26	$91.25	$116.45	$482.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $308.23 / $447.91 / $492.70	Professional	TC	$308.23	$447.91	$492.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $161.41 / $615.71	Professional		$161.41	$161.41	$615.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.41 / $161.41 / $199.55	Facility	26	$161.41	$161.41	$199.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.42 / $642.12 / $925.09	Professional		$428.42	$642.12	$925.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.55 / $156.71 / $255.87	Professional	26	$117.55	$156.71	$255.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $348.55 / $476.52 / $682.56	Professional	TC	$348.55	$476.52	$682.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $161.41 / $161.41 / $199.55	Facility	26	$161.41	$161.41	$199.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.94 / $634.96 / $993.87	Professional		$385.94	$634.96	$993.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $117.55 / $161.41 / $214.78	Professional	26	$117.55	$161.41	$214.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $361.36 / $454.29 / $682.56	Professional	TC	$361.36	$454.29	$682.56
United Facility/Professional Professional Modifier Low / Median / High Price $339.84 / $517.77 / $840.06	Professional		$339.84	$517.77	$840.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $97.16 / $196.48	Professional	26	$95.10	$97.16	$196.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.61 / $420.61 / $526.04	Professional	TC	$254.61	$420.61	$526.04