Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.27 / $475.00 / $638.00	Professional		$400.27	$475.00	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.54 / $140.00 / $565.20	Professional	26	$123.54	$140.00	$565.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.91 / $335.00 / $565.00	Professional	TC	$271.91	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $189.81 / $589.41	Professional		$189.81	$189.81	$589.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.81 / $189.81 / $234.65	Facility	26	$189.81	$189.81	$234.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.65 / $720.44 / $986.88	Professional		$554.65	$720.44	$986.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.90 / $189.81 / $297.16	Professional	26	$129.90	$189.81	$297.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $383.11 / $565.47 / $702.34	Professional	TC	$383.11	$565.47	$702.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $189.81 / $189.81 / $234.65	Facility	26	$189.81	$189.81	$234.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.62 / $624.92 / $953.64	Professional		$385.62	$624.92	$953.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $129.90 / $189.81 / $250.88	Professional	26	$129.90	$189.81	$250.88
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $383.11 / $479.57 / $600.40	Professional	TC	$383.11	$479.57	$600.40
United Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $521.84 / $749.15	Professional		$362.59	$521.84	$749.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.74 / $111.41 / $228.80	Professional	26	$110.74	$111.41	$228.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.85 / $296.30 / $520.35	Professional	TC	$251.85	$296.30	$520.35