Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $294.05 / $916.51	Professional		$248.37	$294.05	$916.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.15 / $84.87 / $367.25	Professional	26	$77.15	$84.87	$367.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.56 / $216.88 / $259.95	Professional	TC	$161.56	$216.88	$259.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $127.77 / $368.06	Professional		$127.77	$127.77	$368.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.77 / $127.77 / $157.94	Facility	26	$127.77	$127.77	$157.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $368.06 / $622.04	Professional		$265.11	$368.06	$622.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.05 / $125.08 / $202.86	Professional	26	$90.05	$125.08	$202.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.84 / $240.29 / $409.26	Professional	TC	$182.84	$240.29	$409.26
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $127.77 / $127.77 / $157.94	Facility	26	$127.77	$127.77	$157.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $379.60 / $589.11	Professional		$246.75	$379.60	$589.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $90.05 / $127.77 / $167.55	Professional	26	$90.05	$127.77	$167.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $182.84 / $263.69 / $361.03	Professional	TC	$182.84	$263.69	$361.03
United Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $264.20 / $650.28	Professional		$215.04	$264.20	$650.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.65 / $75.45 / $155.91	Professional	26	$73.65	$75.45	$155.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.58 / $190.56 / $370.87	Professional	TC	$139.58	$190.56	$370.87