Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.16 / $1,085.84 / $4,963.22	Professional		$814.16	$1,085.84	$4,963.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $730.06 / $972.89 / $4,394.97	Professional	TC	$730.06	$972.89	$4,394.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.21 / $157.21 / $194.35	Facility	26	$157.21	$157.21	$194.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.49 / $906.66 / $2,341.56	Professional		$396.49	$906.66	$2,341.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $294.41 / $793.26 / $2,112.75	Professional	TC	$294.41	$793.26	$2,112.75
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $157.21 / $157.21 / $194.35	Facility	26	$157.21	$157.21	$194.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $926.76 / $1,244.90 / $1,812.20	Professional		$926.76	$1,244.90	$1,812.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $270.41 / $1,069.72 / $2,112.75	Professional	TC	$270.41	$1,069.72	$2,112.75
United Facility/Professional Professional Modifier Low / Median / High Price $965.61 / $1,082.69 / $1,521.12	Professional		$965.61	$1,082.69	$1,521.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $826.41 / $950.06 / $1,334.78	Professional	TC	$826.41	$950.06	$1,334.78