Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $216.19 / $623.79	Professional		$175.72	$216.19	$623.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.19 / $50.01 / $315.64	Professional	26	$44.19	$50.01	$315.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.54 / $166.97 / $443.67	Professional	TC	$131.54	$166.97	$443.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $81.50 / $326.00	Professional		$81.50	$81.50	$326.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.50 / $81.50 / $100.75	Facility	26	$81.50	$81.50	$100.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.96 / $310.27 / $547.90	Professional		$228.96	$310.27	$547.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.58 / $74.05 / $135.86	Professional	26	$56.58	$74.05	$135.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.37 / $236.23 / $412.04	Professional	TC	$172.37	$236.23	$412.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $81.50 / $81.50 / $100.75	Facility	26	$81.50	$81.50	$100.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.07 / $326.00 / $537.23	Professional		$206.07	$326.00	$537.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.45 / $81.50 / $122.45	Professional	26	$48.45	$81.50	$122.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $180.39 / $244.50 / $367.35	Professional	TC	$180.39	$244.50	$367.35
United Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $208.73 / $414.51	Professional		$200.63	$208.73	$414.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $49.52 / $100.14	Professional	26	$48.47	$49.52	$100.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.16 / $159.21 / $314.37	Professional	TC	$152.16	$159.21	$314.37