Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.35 / $87.35 / $356.01	Facility	26	$87.35	$87.35	$356.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $354.51 / $1,793.00	Professional		$304.20	$354.51	$1,793.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.01 / $92.07 / $317.79	Professional	26	$81.01	$92.07	$317.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.22 / $264.64 / $574.78	Professional	TC	$230.22	$264.64	$574.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $134.08 / $491.10	Professional		$134.08	$134.08	$491.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.08 / $134.08 / $165.75	Facility	26	$134.08	$134.08	$165.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.45 / $491.10 / $737.86	Professional		$344.45	$491.10	$737.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.85 / $131.97 / $213.53	Professional	26	$98.85	$131.97	$213.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.44 / $356.77 / $527.69	Professional	TC	$236.44	$356.77	$527.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $134.08 / $134.08 / $165.75	Facility	26	$134.08	$134.08	$165.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $508.67 / $797.78	Professional		$311.52	$508.67	$797.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $98.85 / $134.08 / $177.49	Professional	26	$98.85	$134.08	$177.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $271.38 / $357.02 / $527.69	Professional	TC	$271.38	$357.02	$527.69
United Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $313.74 / $583.74	Professional		$282.52	$313.74	$583.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.45 / $81.81 / $164.15	Professional	26	$79.45	$81.81	$164.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.76 / $231.93 / $451.39	Professional	TC	$194.76	$231.93	$451.39