Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $372.31 / $702.26	Professional		$306.22	$372.31	$702.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.70 / $118.03 / $523.97	Professional	26	$103.70	$118.03	$523.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.16 / $266.22 / $373.84	Professional	TC	$187.16	$266.22	$373.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $175.62 / $520.54	Professional		$175.62	$175.62	$520.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.62 / $175.62 / $217.10	Facility	26	$175.62	$175.62	$217.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $659.05 / $912.13	Professional		$481.00	$659.05	$912.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.76 / $172.13 / $275.83	Professional	26	$122.76	$172.13	$275.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $344.92 / $487.72 / $622.41	Professional	TC	$344.92	$487.72	$622.41
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $175.62 / $175.62 / $217.10	Facility	26	$175.62	$175.62	$217.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.25 / $547.01 / $832.13	Professional		$352.25	$547.01	$832.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $122.76 / $175.62 / $230.11	Professional	26	$122.76	$175.62	$230.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $344.92 / $471.70 / $538.44	Professional	TC	$344.92	$471.70	$538.44
United Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $516.63 / $648.32	Professional		$310.75	$516.63	$648.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.92 / $102.77 / $212.32	Professional	26	$100.92	$102.77	$212.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $372.90 / $493.59	Professional	TC	$207.98	$372.90	$493.59