Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4,696.59 / $4,696.59 / $4,696.59	Facility	26	$4,696.59	$4,696.59	$4,696.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.82 / $540.34 / $2,556.44	Professional		$462.82	$540.34	$2,556.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.45 / $135.58 / $389.12	Professional	26	$68.45	$135.58	$389.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $405.41 / $468.45 / $2,382.79	Professional	TC	$405.41	$468.45	$2,382.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $706.15	Professional		$128.82	$128.82	$706.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $159.25	Facility	26	$128.82	$128.82	$159.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.89 / $650.35 / $1,070.88	Professional		$409.89	$650.35	$1,070.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.89 / $88.32 / $155.35	Professional	26	$73.89	$88.32	$155.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $333.91 / $544.92 / $915.53	Professional	TC	$333.91	$544.92	$915.53
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $159.25	Facility	26	$128.82	$128.82	$159.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.34 / $621.45 / $851.40	Professional		$438.34	$621.45	$851.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $73.89 / $128.82 / $203.35	Professional	26	$73.89	$128.82	$203.35
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $306.69 / $577.33 / $915.53	Professional	TC	$306.69	$577.33	$915.53
United Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $650.74 / $892.39	Professional		$627.29	$650.74	$892.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.48 / $106.47 / $149.58	Professional	26	$100.48	$106.47	$149.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $526.82 / $548.25 / $742.81	Professional	TC	$526.82	$548.25	$742.81