Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $329.43 / $1,591.00	Professional		$267.32	$329.43	$1,591.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $66.56 / $263.00	Professional	26	$46.09	$66.56	$263.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $278.72 / $1,766.78	Professional	TC	$223.84	$278.72	$1,766.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $74.14 / $499.51	Professional		$74.14	$74.14	$499.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.14 / $74.14 / $91.65	Facility	26	$74.14	$74.14	$91.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $499.51 / $972.41	Professional		$258.87	$499.51	$972.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.38 / $74.14 / $140.93	Professional	26	$49.38	$74.14	$140.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.16 / $425.37 / $831.48	Professional	TC	$209.16	$425.37	$831.48
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.14 / $74.14 / $91.65	Facility	26	$74.14	$74.14	$91.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $448.68 / $607.41	Professional		$309.81	$448.68	$607.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $49.72 / $74.14 / $97.65	Professional	26	$49.72	$74.14	$97.65
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $209.16 / $425.37 / $625.14	Professional	TC	$209.16	$425.37	$625.14
United Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $304.00 / $628.10	Professional		$275.49	$304.00	$628.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $44.51 / $90.64	Professional	26	$43.52	$44.51	$90.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.98 / $264.16 / $537.46	Professional	TC	$230.98	$264.16	$537.46