Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.12 / $1,319.25 / $1,319.25	Professional		$234.12	$1,319.25	$1,319.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.03 / $1,062.72 / $1,062.72	Professional	TC	$186.03	$1,062.72	$1,062.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.25 / $66.25 / $81.90	Facility	26	$66.25	$66.25	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $323.89 / $629.67	Professional		$249.92	$323.89	$629.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.67 / $257.64 / $503.57	Professional	TC	$203.67	$257.64	$503.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $66.25 / $66.25 / $81.90	Facility	26	$66.25	$66.25	$81.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.48 / $288.27 / $391.74	Professional		$203.48	$288.27	$391.74
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $203.67 / $257.64 / $381.88	Professional	TC	$203.67	$257.64	$381.88
United Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $208.73 / $404.99	Professional		$196.02	$208.73	$404.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.76 / $167.36 / $323.87	Professional	TC	$156.76	$167.36	$323.87