Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.94 / $557.72 / $2,393.00	Professional		$447.94	$557.72	$2,393.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $358.72 / $1,035.39	Professional	26	$198.28	$358.72	$1,035.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.69 / $347.18 / $1,153.00	Professional	TC	$268.69	$347.18	$1,153.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.29 / $352.29 / $758.20	Professional		$352.29	$352.29	$758.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $352.29 / $352.29 / $435.50	Facility	26	$352.29	$352.29	$435.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.09 / $870.14 / $1,272.33	Professional		$629.09	$870.14	$1,272.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $217.10 / $258.16 / $457.37	Professional	26	$217.10	$258.16	$457.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $341.20 / $441.57 / $936.78	Professional	TC	$341.20	$441.57	$936.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $352.29 / $352.29 / $435.50	Facility	26	$352.29	$352.29	$435.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $662.15 / $898.93	Professional		$461.83	$662.15	$898.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $217.10 / $352.29 / $556.10	Professional	26	$217.10	$352.29	$556.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $405.92 / $434.17 / $860.39	Professional	TC	$405.92	$434.17	$860.39
United Facility/Professional Professional Modifier Low / Median / High Price $619.86 / $758.20 / $874.65	Professional		$619.86	$758.20	$874.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $280.16 / $295.45 / $408.17	Professional	26	$280.16	$295.45	$408.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $332.02 / $426.88 / $612.41	Professional	TC	$332.02	$426.88	$612.41