Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $311.00 / $505.16	Professional		$293.82	$311.00	$505.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $52.00 / $275.00	Professional	26	$43.47	$52.00	$275.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.34 / $266.31 / $428.87	Professional	TC	$250.34	$266.31	$428.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $77.29 / $478.48	Professional		$77.29	$77.29	$478.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.29 / $77.29 / $95.55	Facility	26	$77.29	$77.29	$95.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.47 / $478.48 / $931.23	Professional		$349.47	$478.48	$931.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.18 / $77.29 / $146.94	Professional	26	$56.18	$77.29	$146.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.79 / $401.19 / $784.29	Professional	TC	$292.79	$401.19	$784.29
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $77.29 / $77.29 / $95.55	Facility	26	$77.29	$77.29	$95.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.41 / $431.26 / $582.27	Professional		$304.41	$431.26	$582.27
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $56.67 / $77.29 / $106.56	Professional	26	$56.67	$77.29	$106.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $292.79 / $401.19 / $683.38	Professional	TC	$292.79	$401.19	$683.38
United Facility/Professional Professional Modifier Low / Median / High Price $292.64 / $376.41 / $856.56	Professional		$292.64	$376.41	$856.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $46.08 / $94.43	Professional	26	$45.71	$46.08	$94.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.94 / $251.69 / $510.21	Professional	TC	$246.94	$251.69	$510.21