Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $358.14 / $1,990.18	Professional		$308.87	$358.14	$1,990.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $71.26 / $349.00	Professional	26	$57.15	$71.26	$349.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.71 / $284.95 / $1,610.09	Professional	TC	$251.71	$284.95	$1,610.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $99.38 / $493.73	Professional		$99.38	$99.38	$493.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.38 / $99.38 / $122.85	Facility	26	$99.38	$99.38	$122.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.04 / $493.73 / $960.01	Professional		$322.04	$493.73	$960.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.53 / $99.38 / $189.10	Professional	26	$70.53	$99.38	$189.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.72 / $394.35 / $770.92	Professional	TC	$250.72	$394.35	$770.92
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $99.38 / $99.38 / $122.85	Facility	26	$99.38	$99.38	$122.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $441.34 / $594.22	Professional		$311.52	$441.34	$594.22
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $71.33 / $99.38 / $131.91	Professional	26	$71.33	$99.38	$131.91
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $250.72 / $394.35 / $594.29	Professional	TC	$250.72	$394.35	$594.29
United Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $302.51 / $610.34	Professional		$272.05	$302.51	$610.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.67 / $58.29 / $120.42	Professional	26	$57.67	$58.29	$120.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.38 / $244.38 / $489.92	Professional	TC	$214.38	$244.38	$489.92