Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $357.92 / $1,975.00	Professional		$318.73	$357.92	$1,975.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $49.23 / $247.00	Professional	26	$45.85	$49.23	$247.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $308.92 / $500.71	Professional	TC	$272.87	$308.92	$500.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $547.88	Professional		$77.81	$77.81	$547.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.81 / $77.81 / $96.20	Facility	26	$77.81	$77.81	$96.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.32 / $547.88 / $1,066.96	Professional		$369.32	$547.88	$1,066.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.15 / $77.81 / $147.90	Professional	26	$53.15	$77.81	$147.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $315.86 / $470.07 / $919.06	Professional	TC	$315.86	$470.07	$919.06
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $77.81 / $77.81 / $96.20	Facility	26	$77.81	$77.81	$96.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.32 / $465.98 / $668.41	Professional		$351.32	$465.98	$668.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.46 / $77.81 / $101.08	Professional	26	$53.46	$77.81	$101.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $315.86 / $470.07 / $605.26	Professional	TC	$315.86	$470.07	$605.26
United Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $341.12 / $704.79	Professional		$301.60	$341.12	$704.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.04 / $47.33 / $94.43	Professional	26	$45.04	$47.33	$94.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.77 / $295.42 / $610.36	Professional	TC	$239.77	$295.42	$610.36