Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.44 / $493.55 / $1,248.39	Professional		$427.44	$493.55	$1,248.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $358.72 / $1,047.00	Professional	26	$188.34	$358.72	$1,047.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $270.72 / $1,485.95	Professional	TC	$239.11	$270.72	$1,485.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $352.81 / $739.27	Professional		$352.81	$352.81	$739.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $352.81 / $352.81 / $436.15	Facility	26	$352.81	$352.81	$436.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.97 / $623.23 / $1,011.24	Professional		$484.97	$623.23	$1,011.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $236.76 / $260.31 / $430.57	Professional	26	$236.76	$260.31	$430.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.21 / $339.84 / $580.66	Professional	TC	$248.21	$339.84	$580.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $352.81 / $352.81 / $436.15	Facility	26	$352.81	$352.81	$436.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.69 / $617.33 / $871.52	Professional		$449.69	$617.33	$871.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $236.76 / $352.81 / $556.92	Professional	26	$236.76	$352.81	$556.92
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $248.21 / $386.46 / $610.04	Professional	TC	$248.21	$386.46	$610.04
United Facility/Professional Professional Modifier Low / Median / High Price $611.16 / $641.79 / $873.37	Professional		$611.16	$641.79	$873.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $280.16 / $290.52 / $408.18	Professional	26	$280.16	$290.52	$408.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $321.25 / $361.63 / $465.19	Professional	TC	$321.25	$361.63	$465.19