Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.47 / $475.00 / $1,669.70	Professional		$335.47	$475.00	$1,669.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.78 / $140.00 / $154.00	Professional	26	$82.78	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.66 / $335.00 / $565.00	Professional	TC	$231.66	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.24 / $127.24 / $490.57	Professional		$127.24	$127.24	$490.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.24 / $127.24 / $157.30	Facility	26	$127.24	$127.24	$157.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.57 / $660.31 / $922.91	Professional		$490.57	$660.31	$922.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.91 / $127.24 / $202.97	Professional	26	$82.91	$127.24	$202.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.33 / $552.49 / $710.49	Professional	TC	$363.33	$552.49	$710.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $127.24 / $127.24 / $157.30	Facility	26	$127.24	$127.24	$157.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.43 / $536.30 / $808.44	Professional		$335.43	$536.30	$808.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $82.91 / $127.24 / $168.59	Professional	26	$82.91	$127.24	$168.59
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $363.33 / $491.24 / $598.29	Professional	TC	$363.33	$491.24	$598.29
United Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $521.84 / $676.28	Professional		$303.70	$521.84	$676.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.17 / $75.84 / $157.44	Professional	26	$75.17	$75.84	$157.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.23 / $379.44 / $652.14	Professional	TC	$228.23	$379.44	$652.14