Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $261.97 / $299.29	Professional		$157.79	$261.97	$299.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $66.45 / $283.26	Professional	26	$56.82	$66.45	$283.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.29 / $186.96 / $232.83	Professional	TC	$68.29	$186.96	$232.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $143.02 / $256.58	Professional		$143.02	$143.02	$256.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.02 / $143.02 / $176.80	Facility	26	$143.02	$143.02	$176.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.76 / $389.77 / $553.16	Professional		$245.76	$389.77	$553.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $98.47 / $227.12	Professional	26	$64.52	$98.47	$227.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.57 / $198.46 / $484.80	Professional	TC	$113.57	$198.46	$484.80
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $143.02 / $143.02 / $176.80	Facility	26	$143.02	$143.02	$176.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.87 / $279.93 / $429.44	Professional		$157.87	$279.93	$429.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.84 / $126.79 / $162.38	Professional	26	$64.84	$126.79	$162.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $113.57 / $163.55 / $326.20	Professional	TC	$113.57	$163.55	$326.20
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $281.43 / $449.54	Professional		$178.28	$281.43	$449.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.88 / $97.80 / $171.75	Professional	26	$65.88	$97.80	$171.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $124.24 / $213.86	Professional	TC	$80.48	$124.24	$213.86