Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.35 / $1,371.59 / $5,496.30	Professional		$936.35	$1,371.59	$5,496.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.96 / $148.09 / $578.66	Professional	26	$94.96	$148.09	$578.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $849.37 / $1,223.50 / $4,917.58	Professional	TC	$849.37	$1,223.50	$4,917.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $149.33 / $1,296.61	Professional		$149.33	$149.33	$1,296.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.33 / $149.33 / $184.60	Facility	26	$149.33	$149.33	$184.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.00 / $1,151.19 / $2,527.12	Professional		$976.00	$1,151.19	$2,527.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.93 / $117.12 / $283.79	Professional	26	$110.93	$117.12	$283.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $864.07 / $1,034.07 / $2,243.34	Professional	TC	$864.07	$1,034.07	$2,243.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $149.33 / $149.33 / $184.60	Facility	26	$149.33	$149.33	$184.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.75 / $1,192.50 / $1,593.38	Professional		$841.75	$1,192.50	$1,593.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $111.93 / $149.33 / $199.35	Professional	26	$111.93	$149.33	$199.35
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $864.07 / $1,147.30 / $1,616.39	Professional	TC	$864.07	$1,147.30	$1,616.39
United Facility/Professional Professional Modifier Low / Median / High Price $805.89 / $829.93 / $1,678.29	Professional		$805.89	$829.93	$1,678.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.26 / $90.89 / $183.80	Professional	26	$88.26	$90.89	$183.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $717.63 / $739.04 / $2,077.53	Professional	TC	$717.63	$739.04	$2,077.53