Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $441.88 / $1,048.63	Professional		$393.25	$441.88	$1,048.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $103.42 / $419.20	Professional	26	$90.71	$103.42	$419.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $323.22 / $515.44	Professional	TC	$302.52	$323.22	$515.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.58 / $164.58 / $644.11	Professional		$164.58	$164.58	$644.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.58 / $164.58 / $203.45	Facility	26	$164.58	$164.58	$203.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.36 / $587.66 / $827.84	Professional		$435.36	$587.66	$827.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.75 / $119.46 / $199.42	Professional	26	$109.75	$119.46	$199.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.62 / $452.58 / $628.41	Professional	TC	$325.62	$452.58	$628.41
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $164.58 / $164.58 / $203.45	Facility	26	$164.58	$164.58	$203.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.17 / $566.91 / $777.20	Professional		$400.17	$566.91	$777.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $109.75 / $164.58 / $259.79	Professional	26	$109.75	$164.58	$259.79
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $325.62 / $479.53 / $756.96	Professional	TC	$325.62	$479.53	$756.96
United Facility/Professional Professional Modifier Low / Median / High Price $556.33 / $588.98 / $809.35	Professional		$556.33	$588.98	$809.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $131.13 / $136.69 / $192.04	Professional	26	$131.13	$136.69	$192.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $422.66 / $457.84 / $617.30	Professional	TC	$422.66	$457.84	$617.30