Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.49 / $500.12 / $2,053.00	Professional		$463.49	$500.12	$2,053.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $73.54 / $261.00	Professional	26	$64.28	$73.54	$261.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.20 / $433.27 / $622.12	Professional	TC	$399.20	$433.27	$622.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $104.11 / $686.17	Professional		$104.11	$104.11	$686.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.11 / $104.11 / $128.69	Facility	26	$104.11	$104.11	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $609.95 / $1,335.91	Professional		$519.54	$609.95	$1,335.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.06 / $82.42 / $197.85	Professional	26	$78.06	$82.42	$197.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $440.78 / $527.53 / $1,138.06	Professional	TC	$440.78	$527.53	$1,138.06
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $104.11 / $104.11 / $128.69	Facility	26	$104.11	$104.11	$128.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.52 / $628.33 / $841.96	Professional		$443.52	$628.33	$841.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $78.77 / $104.11 / $140.21	Professional	26	$78.77	$104.11	$140.21
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $440.78 / $582.05 / $824.68	Professional	TC	$440.78	$582.05	$824.68
United Facility/Professional Professional Modifier Low / Median / High Price $428.20 / $440.98 / $891.75	Professional		$428.20	$440.98	$891.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.08 / $63.94 / $129.29	Professional	26	$62.08	$63.94	$129.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $369.03 / $377.04 / $762.46	Professional	TC	$369.03	$377.04	$762.46