Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.13 / $840.42 / $2,041.62	Facility		$503.13	$840.42	$2,041.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.62 / $13.62 / $606.69	Facility	26	$13.62	$13.62	$606.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.66 / $259.52 / $884.00	Professional		$189.66	$259.52	$884.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $73.16 / $267.20	Professional	26	$64.20	$73.16	$267.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.12 / $183.15 / $270.89	Professional	TC	$175.12	$183.15	$270.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.74 / $77,999.99 / $94,999.99	Facility		$1,289.74	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $106.21 / $309.70	Professional		$106.21	$106.21	$309.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $368.13 / $778.85	Facility		$204.96	$368.13	$778.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.21 / $106.21 / $126.25	Facility	26	$106.21	$106.21	$126.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.72 / $316.61 / $452.19	Professional		$248.72	$316.61	$452.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.12 / $104.18 / $159.33	Professional	26	$80.12	$104.18	$159.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.31 / $214.48 / $305.73	Professional	TC	$162.31	$214.48	$305.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $403.77 / $432.63	Facility		$204.96	$403.77	$432.63
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $106.21 / $106.21 / $126.25	Facility	26	$106.21	$106.21	$126.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $352.92 / $531.91	Professional		$207.50	$352.92	$531.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $83.61 / $104.18 / $124.89	Professional	26	$83.61	$104.18	$124.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $172.96 / $212.53 / $268.30	Professional	TC	$172.96	$212.53	$268.30
United Facility/Professional Professional Modifier Low / Median / High Price $295.25 / $350.57 / $422.98	Professional		$295.25	$350.57	$422.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.77 / $117.72 / $135.21	Professional	26	$97.77	$117.72	$135.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.53 / $234.36 / $297.60	Professional	TC	$185.53	$234.36	$297.60