Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.20 / $475.00 / $1,964.80	Professional		$359.20	$475.00	$1,964.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.05 / $140.00 / $543.84	Professional	26	$104.05	$140.00	$543.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.71 / $335.00 / $413.49	Professional	TC	$237.71	$335.00	$413.49
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 $169.83 / $169.83 / $209.95	Facility	26	$169.83	$169.83	$209.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.72 / $530.95 / $939.66	Professional		$392.72	$530.95	$939.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.84 / $152.85 / $280.37	Professional	26	$116.84	$152.85	$280.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.87 / $378.10 / $659.29	Professional	TC	$275.87	$378.10	$659.29
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $169.83 / $169.83 / $209.95	Facility	26	$169.83	$169.83	$209.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.67 / $555.77 / $901.69	Professional		$350.67	$555.77	$901.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $99.82 / $169.83 / $255.17	Professional	26	$99.82	$169.83	$255.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $288.70 / $385.94 / $579.86	Professional	TC	$288.70	$385.94	$579.86
United Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $649.02 / $847.35	Professional		$343.26	$649.02	$847.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $100.00 / $206.62	Professional	26	$73.34	$100.00	$206.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $459.94 / $694.69	Professional	TC	$243.26	$459.94	$694.69