Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $566.37 / $566.37 / $566.37	Facility	26	$566.37	$566.37	$566.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.23 / $434.02 / $1,776.00	Professional		$375.23	$434.02	$1,776.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.02 / $107.20 / $384.00	Professional	26	$89.02	$107.20	$384.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.70 / $344.43 / $649.67	Professional	TC	$274.70	$344.43	$649.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $147.75 / $551.04	Professional		$147.75	$147.75	$551.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.75 / $147.75 / $182.65	Facility	26	$147.75	$147.75	$182.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.86 / $551.04 / $827.92	Professional		$389.86	$551.04	$827.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.44 / $146.10 / $234.02	Professional	26	$109.44	$146.10	$234.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $271.38 / $403.29 / $605.92	Professional	TC	$271.38	$403.29	$605.92
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $147.75 / $147.75 / $182.65	Facility	26	$147.75	$147.75	$182.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.73 / $575.60 / $893.31	Professional		$348.73	$575.60	$893.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $109.44 / $147.75 / $196.82	Professional	26	$109.44	$147.75	$196.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $326.39 / $408.56 / $605.92	Professional	TC	$326.39	$408.56	$605.92
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $397.10 / $655.99	Professional		$317.50	$397.10	$655.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.12 / $90.58 / $179.99	Professional	26	$87.12	$90.58	$179.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.38 / $306.52 / $476.00	Professional	TC	$230.38	$306.52	$476.00