Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $490.19 / $2,346.00	Professional		$433.43	$490.19	$2,346.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $78.38 / $231.00	Professional	26	$67.62	$78.38	$231.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $414.12 / $2,003.00	Professional	TC	$365.81	$414.12	$2,003.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $117.25 / $683.54	Professional		$117.25	$117.25	$683.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.25 / $117.25 / $144.94	Facility	26	$117.25	$117.25	$144.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.45 / $683.01 / $1,329.03	Professional		$451.45	$683.01	$1,329.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.69 / $117.25 / $223.13	Professional	26	$83.69	$117.25	$223.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $366.90 / $565.76 / $1,105.90	Professional	TC	$366.90	$565.76	$1,105.90
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $117.25 / $117.25 / $144.94	Facility	26	$117.25	$117.25	$144.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.14 / $615.04 / $824.36	Professional		$434.14	$615.04	$824.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $84.54 / $117.25 / $154.53	Professional	26	$84.54	$117.25	$154.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $366.90 / $565.76 / $857.50	Professional	TC	$366.90	$565.76	$857.50
United Facility/Professional Professional Modifier Low / Median / High Price $382.06 / $419.08 / $851.19	Professional		$382.06	$419.08	$851.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $68.72 / $141.97	Professional	26	$68.17	$68.72	$141.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.74 / $350.91 / $709.22	Professional	TC	$313.74	$350.91	$709.22