Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $475.00 / $2,252.02	Professional		$348.34	$475.00	$2,252.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.15 / $140.00 / $463.00	Professional	26	$83.15	$140.00	$463.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.14 / $335.00 / $565.00	Professional	TC	$263.14	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $131.44 / $546.30	Professional		$131.44	$131.44	$546.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.44 / $131.44 / $162.50	Facility	26	$131.44	$131.44	$162.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $587.90 / $915.20	Professional		$526.46	$587.90	$915.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $131.44 / $208.88	Professional	26	$86.34	$131.44	$208.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $406.91 / $495.74 / $696.63	Professional	TC	$406.91	$495.74	$696.63
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $131.44 / $131.44 / $162.50	Facility	26	$131.44	$131.44	$162.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.52 / $572.09 / $883.25	Professional		$368.52	$572.09	$883.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $131.44 / $174.75	Professional	26	$86.34	$131.44	$174.75
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $406.91 / $477.06 / $623.30	Professional	TC	$406.91	$477.06	$623.30
United Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $500.53 / $691.48	Professional		$334.68	$500.53	$691.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $78.98 / $160.36	Professional	26	$77.61	$78.98	$160.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.07 / $421.55 / $533.98	Professional	TC	$257.07	$421.55	$533.98