Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $269.86 / $1,093.50	Professional		$232.02	$269.86	$1,093.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $151.16 / $794.00	Professional	26	$131.81	$151.16	$794.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $132.43 / $238.86	Professional	TC	$123.37	$132.43	$238.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.24 / $453.24 / $453.24	Professional		$453.24	$453.24	$453.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.19 / $238.19 / $294.45	Facility	26	$238.19	$238.19	$294.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $367.97 / $547.32	Professional		$292.83	$367.97	$547.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $159.31 / $173.66 / $289.47	Professional	26	$159.31	$173.66	$289.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.54 / $177.62 / $257.86	Professional	TC	$133.54	$177.62	$257.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $238.19 / $238.19 / $294.45	Facility	26	$238.19	$238.19	$294.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $381.31 / $537.00	Professional		$275.02	$381.31	$537.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $159.31 / $238.19 / $375.99	Professional	26	$159.31	$238.19	$375.99
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $133.54 / $215.05 / $339.47	Professional	TC	$133.54	$215.05	$339.47
United Facility/Professional Professional Modifier Low / Median / High Price $364.76 / $369.91 / $519.71	Professional		$364.76	$369.91	$519.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $189.31 / $196.69 / $276.33	Professional	26	$189.31	$196.69	$276.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.22 / $175.45 / $370.93	Professional	TC	$173.22	$175.45	$370.93