Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $229.24 / $416.78	Professional		$214.53	$229.24	$416.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $80.40 / $302.83	Professional	26	$71.81	$80.40	$302.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.30 / $148.83 / $220.68	Professional	TC	$142.30	$148.83	$220.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $106.21 / $292.33	Professional		$106.21	$106.21	$292.33
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 $180.54 / $309.29 / $439.24	Professional		$180.54	$309.29	$439.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.90 / $106.21 / $154.72	Professional	26	$81.90	$106.21	$154.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.42 / $186.71 / $282.93	Professional	TC	$99.42	$186.71	$282.93
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 $195.77 / $345.27 / $546.54	Professional		$195.77	$345.27	$546.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $83.91 / $106.21 / $121.25	Professional	26	$83.91	$106.21	$121.25
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $121.60 / $186.13 / $277.02	Professional	TC	$121.60	$186.13	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $321.60 / $386.88	Professional		$257.27	$321.60	$386.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.96 / $117.17 / $138.87	Professional	26	$96.96	$117.17	$138.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.32 / $200.40 / $262.91	Professional	TC	$160.32	$200.40	$262.91