Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.70 / $974.70 / $2,195.10	Professional		$731.70	$974.70	$2,195.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.98 / $175.50 / $579.60	Professional	26	$77.98	$175.50	$579.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $452.93 / $452.93 / $452.93	Professional	TC	$452.93	$452.93	$452.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $124.61 / $454.29	Professional		$124.61	$124.61	$454.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.29 / $454.29 / $498.19	Professional		$454.29	$454.29	$498.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.61 / $124.61 / $139.68	Professional	26	$124.61	$124.61	$139.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $329.68 / $329.68 / $358.51	Professional	TC	$329.68	$329.68	$358.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.35 / $407.65 / $498.19	Professional		$280.35	$407.65	$498.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $124.61 / $124.61 / $139.68	Professional	26	$124.61	$124.61	$139.68
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $329.68 / $329.68 / $358.51	Professional	TC	$329.68	$329.68	$358.51
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $187.33 / $309.64	Professional		$168.90	$187.33	$309.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $52.42 / $95.28	Professional	26	$51.97	$52.42	$95.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.93 / $134.91 / $214.37	Professional	TC	$116.93	$134.91	$214.37