Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $210.82 / $958.00	Professional		$171.22	$210.82	$958.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.48 / $60.73 / $171.00	Professional	26	$31.48	$60.73	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $159.46 / $786.00	Professional	TC	$140.87	$159.46	$786.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $424.85	Professional		$58.89	$58.89	$424.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $72.80	Facility	26	$58.89	$58.89	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $263.48 / $441.74	Professional		$176.62	$263.48	$441.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $39.81 / $69.42	Professional	26	$33.71	$39.81	$69.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.91 / $227.00 / $382.96	Professional	TC	$142.91	$227.00	$382.96
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $72.80	Facility	26	$58.89	$58.89	$72.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.51 / $364.81 / $496.31	Professional		$257.51	$364.81	$496.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $58.78 / $92.96	Professional	26	$33.71	$58.78	$92.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $138.79 / $365.96 / $577.67	Professional	TC	$138.79	$365.96	$577.67
United Facility/Professional Professional Modifier Low / Median / High Price $228.61 / $354.13 / $497.53	Professional		$228.61	$354.13	$497.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $48.28 / $104.52	Professional	26	$45.18	$48.28	$104.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.43 / $305.85 / $429.70	Professional	TC	$183.43	$305.85	$429.70