Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $318.62 / $496.60	Professional		$300.52	$318.62	$496.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $38.79 / $180.00	Professional	26	$30.39	$38.79	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.12 / $287.36 / $443.37	Professional	TC	$270.12	$287.36	$443.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $54.16 / $467.96	Professional		$54.16	$54.16	$467.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.16 / $54.16 / $66.95	Facility	26	$54.16	$54.16	$66.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.53 / $467.96 / $911.90	Professional		$355.53	$467.96	$911.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $54.16 / $102.92	Professional	26	$39.32	$54.16	$102.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $315.91 / $413.80 / $808.98	Professional	TC	$315.91	$413.80	$808.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $54.16 / $54.16 / $66.95	Facility	26	$54.16	$54.16	$66.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.94 / $422.09 / $570.32	Professional		$297.94	$422.09	$570.32
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $54.16 / $74.29	Professional	26	$39.61	$54.16	$74.29
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $315.91 / $413.80 / $710.79	Professional	TC	$315.91	$413.80	$710.79
United Facility/Professional Professional Modifier Low / Median / High Price $287.74 / $302.45 / $594.50	Professional		$287.74	$302.45	$594.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.59 / $32.29 / $65.28	Professional	26	$31.59	$32.29	$65.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $270.16 / $529.22	Professional	TC	$256.14	$270.16	$529.22