Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $280.83 / $1,343.79	Professional		$228.16	$280.83	$1,343.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $51.06 / $272.85	Professional	26	$42.77	$51.06	$272.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.40 / $230.90 / $1,070.94	Professional	TC	$185.40	$230.90	$1,070.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $70.98 / $331.78	Professional		$70.98	$70.98	$331.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $70.98 / $87.75	Facility	26	$70.98	$70.98	$87.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $331.78 / $644.77	Professional		$258.89	$331.78	$644.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.66 / $70.98 / $135.03	Professional	26	$48.66	$70.98	$135.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.04 / $260.80 / $509.74	Professional	TC	$210.04	$260.80	$509.74
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $70.98 / $87.75	Facility	26	$70.98	$70.98	$87.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $296.98 / $400.55	Professional		$209.63	$296.98	$400.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $70.98 / $93.47	Professional	26	$48.86	$70.98	$93.47
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $210.04 / $260.80 / $387.36	Professional	TC	$210.04	$260.80	$387.36
United Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $209.99 / $412.60	Professional		$199.70	$209.99	$412.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.39 / $43.88 / $86.83	Professional	26	$41.39	$43.88	$86.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.68 / $233.57 / $325.77	Professional	TC	$157.68	$233.57	$325.77