Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $219.22 / $436.57	Professional		$195.81	$219.22	$436.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $49.28 / $70.01	Professional	26	$44.14	$49.28	$70.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $178.73 / $366.55	Professional	TC	$162.49	$178.73	$366.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $71.51 / $432.73	Professional		$71.51	$71.51	$432.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.51 / $71.51 / $85.00	Facility	26	$71.51	$71.51	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.07 / $432.73 / $682.33	Professional		$277.07	$432.73	$682.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $71.51 / $102.69	Professional	26	$48.65	$71.51	$102.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.25 / $361.22 / $586.58	Professional	TC	$228.25	$361.22	$586.58
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $71.51 / $71.51 / $85.00	Facility	26	$71.51	$71.51	$85.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $472.58 / $806.98	Professional		$283.55	$472.58	$806.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $71.51 / $80.16	Professional	26	$48.82	$71.51	$80.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $245.32 / $361.22 / $400.91	Professional	TC	$245.32	$361.22	$400.91
United Facility/Professional Professional Modifier Low / Median / High Price $377.93 / $454.30 / $527.99	Professional		$377.93	$454.30	$527.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.80 / $77.45 / $87.75	Professional	26	$64.80	$77.45	$87.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $311.67 / $374.65 / $441.59	Professional	TC	$311.67	$374.65	$441.59