Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.05 / $475.00 / $1,418.53	Professional		$218.05	$475.00	$1,418.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.26 / $140.00 / $154.00	Professional	26	$72.26	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.79 / $335.00 / $368.50	Professional	TC	$145.79	$335.00	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $117.78 / $354.92	Professional		$117.78	$117.78	$354.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.78 / $117.78 / $145.60	Facility	26	$117.78	$117.78	$145.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $336.15 / $595.91	Professional		$248.98	$336.15	$595.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.69 / $106.89 / $196.04	Professional	26	$81.69	$106.89	$196.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.28 / $229.25 / $399.87	Professional	TC	$167.28	$229.25	$399.87
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $117.78 / $117.78 / $145.60	Facility	26	$117.78	$117.78	$145.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $354.92 / $584.89	Professional		$222.89	$354.92	$584.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $117.78 / $176.96	Professional	26	$69.84	$117.78	$176.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $175.06 / $237.14 / $356.29	Professional	TC	$175.06	$237.14	$356.29
United Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $431.87 / $798.18	Professional		$217.18	$431.87	$798.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.63 / $71.45 / $143.87	Professional	26	$69.63	$71.45	$143.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.55 / $288.60 / $675.21	Professional	TC	$147.55	$288.60	$675.21