Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $349.32 / $2,094.14	Professional		$330.02	$349.32	$2,094.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $55.45 / $257.87	Professional	26	$49.03	$55.45	$257.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.99 / $304.35 / $1,477.69	Professional	TC	$280.99	$304.35	$1,477.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $505.29	Professional		$86.76	$86.76	$505.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.76 / $86.76 / $107.25	Facility	26	$86.76	$86.76	$107.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.68 / $505.29 / $983.12	Professional		$392.68	$505.29	$983.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.41 / $86.76 / $164.88	Professional	26	$63.41	$86.76	$164.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $328.75 / $418.54 / $818.24	Professional	TC	$328.75	$418.54	$818.24
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $86.76 / $86.76 / $107.25	Facility	26	$86.76	$86.76	$107.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $454.18 / $614.97	Professional		$320.58	$454.18	$614.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.93 / $86.76 / $114.17	Professional	26	$63.93	$86.76	$114.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $328.75 / $418.54 / $614.86	Professional	TC	$328.75	$418.54	$614.86
United Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $552.79 / $904.66	Professional		$310.45	$552.79	$904.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $52.03 / $153.54	Professional	26	$50.82	$52.03	$153.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.52 / $356.91 / $751.12	Professional	TC	$259.52	$356.91	$751.12