Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,114.63 / $10,147.00	Professional		$1,889.42	$2,114.63	$10,147.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.57 / $669.09 / $1,965.00	Professional	26	$347.57	$669.09	$1,965.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,516.64 / $1,745.82 / $8,523.54	Professional	TC	$1,516.64	$1,745.82	$8,523.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.72 / $656.72 / $2,910.83	Professional		$656.72	$656.72	$2,910.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $811.85	Facility	26	$656.72	$656.72	$811.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.67 / $2,910.83 / $4,013.00	Professional		$1,813.67	$2,910.83	$4,013.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $380.04 / $535.97 / $800.49	Professional	26	$380.04	$535.97	$800.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,424.90 / $1,949.31 / $3,212.51	Professional	TC	$1,424.90	$1,949.31	$3,212.51
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $811.85	Facility	26	$656.72	$656.72	$811.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,742.37 / $2,468.40 / $3,454.63	Professional		$1,742.37	$2,468.40	$3,454.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $380.04 / $672.79 / $800.49	Professional	26	$380.04	$672.79	$800.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $1,308.73 / $2,254.10 / $3,558.21	Professional	TC	$1,308.73	$2,254.10	$3,558.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,436.50 / $2,760.40 / $3,423.15	Professional		$2,436.50	$2,760.40	$3,423.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $517.15 / $540.89 / $759.92	Professional	26	$517.15	$540.89	$759.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,895.61 / $2,243.25 / $3,926.61	Professional	TC	$1,895.61	$2,243.25	$3,926.61