Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.17 / $461.44 / $507.59	Professional		$305.17	$461.44	$507.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.86 / $121.89 / $525.66	Professional	26	$104.86	$121.89	$525.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.85 / $350.63 / $385.70	Professional	TC	$186.85	$350.63	$385.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.57 / $174.57 / $664.61	Professional		$174.57	$174.57	$664.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $174.57 / $174.57 / $215.80	Facility	26	$174.57	$174.57	$215.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.24 / $717.62 / $998.56	Professional		$459.24	$717.62	$998.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.16 / $174.57 / $276.45	Professional	26	$116.16	$174.57	$276.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $326.55 / $534.03 / $736.06	Professional	TC	$326.55	$534.03	$736.06
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $174.57 / $174.57 / $215.80	Facility	26	$174.57	$174.57	$215.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.46 / $664.61 / $1,066.77	Professional		$412.46	$664.61	$1,066.77
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $116.16 / $174.57 / $232.45	Professional	26	$116.16	$174.57	$232.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $337.29 / $490.05 / $690.32	Professional	TC	$337.29	$490.05	$690.32
United Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $493.64 / $791.62	Professional		$383.15	$493.64	$791.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.77 / $120.90 / $308.01	Professional	26	$102.77	$120.90	$308.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.38 / $387.07 / $579.29	Professional	TC	$280.38	$387.07	$579.29