Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $283.23 / $1,705.00	Professional		$251.87	$283.23	$1,705.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $43.15 / $191.84	Professional	26	$33.17	$43.15	$191.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $247.61 / $449.49	Professional	TC	$218.71	$247.61	$449.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $476.37	Professional		$57.31	$57.31	$476.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.31 / $57.31 / $70.84	Facility	26	$57.31	$57.31	$70.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $476.37 / $928.06	Professional		$216.83	$476.37	$928.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $57.31 / $108.92	Professional	26	$37.52	$57.31	$108.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.05 / $419.06 / $819.14	Professional	TC	$179.05	$419.06	$819.14
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $57.31 / $57.31 / $70.84	Facility	26	$57.31	$57.31	$70.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.01 / $428.97 / $579.75	Professional		$296.01	$428.97	$579.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.78 / $57.31 / $76.34	Professional	26	$37.78	$57.31	$76.34
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $179.05 / $419.06 / $522.35	Professional	TC	$179.05	$419.06	$522.35
United Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $296.73 / $603.37	Professional		$228.17	$296.73	$603.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $34.17 / $69.72	Professional	26	$33.75	$34.17	$69.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.00 / $265.07 / $533.65	Professional	TC	$194.00	$265.07	$533.65