Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.87 / $343.67 / $785.20	Professional		$280.87	$343.67	$785.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.23 / $102.65 / $213.88	Professional	26	$85.23	$102.65	$213.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.64 / $219.11 / $426.90	Professional	TC	$195.64	$219.11	$426.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $160.37 / $549.46	Professional		$160.37	$160.37	$549.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.37 / $160.37 / $198.25	Facility	26	$160.37	$160.37	$198.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.33 / $387.96 / $621.66	Professional		$328.33	$387.96	$621.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.79 / $115.76 / $195.85	Professional	26	$107.79	$115.76	$195.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.54 / $272.20 / $425.81	Professional	TC	$220.54	$272.20	$425.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $160.37 / $160.37 / $198.25	Facility	26	$160.37	$160.37	$198.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $444.60 / $635.91	Professional		$329.00	$444.60	$635.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $107.79 / $160.37 / $253.15	Professional	26	$107.79	$160.37	$253.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $220.54 / $389.09 / $614.20	Professional	TC	$220.54	$389.09	$614.20
United Facility/Professional Professional Modifier Low / Median / High Price $405.49 / $429.01 / $602.74	Professional		$405.49	$429.01	$602.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $127.55 / $149.94 / $281.20	Professional	26	$127.55	$149.94	$281.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.94 / $296.38 / $416.41	Professional	TC	$277.94	$296.38	$416.41