Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.83 / $436.79 / $2,125.00	Professional		$411.83	$436.79	$2,125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $46.97 / $229.68	Professional	26	$36.71	$46.97	$229.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $375.12 / $399.06 / $1,031.84	Professional	TC	$375.12	$399.06	$1,031.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $627.80	Professional		$65.20	$65.20	$627.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.20 / $65.20 / $80.59	Facility	26	$65.20	$65.20	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.52 / $627.80 / $1,223.83	Professional		$486.52	$627.80	$1,223.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.42 / $65.20 / $123.98	Professional	26	$47.42	$65.20	$123.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $438.70 / $562.61 / $1,099.85	Professional	TC	$438.70	$562.61	$1,099.85
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $65.20 / $65.20 / $80.59	Facility	26	$65.20	$65.20	$80.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.82 / $567.83 / $766.51	Professional		$400.82	$567.83	$766.51
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.82 / $65.20 / $89.36	Professional	26	$47.82	$65.20	$89.36
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $438.70 / $562.61 / $973.30	Professional	TC	$438.70	$562.61	$973.30
United Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $414.03 / $803.03	Professional		$388.67	$414.03	$803.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $49.35 / $80.48	Professional	26	$38.86	$49.35	$80.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.71 / $375.16 / $730.16	Professional	TC	$349.71	$375.16	$730.16