Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.82 / $669.43 / $1,355.33	Facility		$506.82	$669.43	$1,355.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $214.07 / $869.00	Professional		$183.69	$214.07	$869.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $38.57 / $147.60	Professional	26	$32.11	$38.57	$147.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $174.80 / $291.32	Professional	TC	$162.49	$174.80	$291.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.04 / $77,999.99 / $94,999.99	Facility		$1,547.04	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $294.97	Professional		$51.00	$51.00	$294.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.57 / $350.63 / $933.15	Facility		$245.57	$350.63	$933.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.00 / $51.00 / $60.63	Facility	26	$51.00	$51.00	$60.63
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $243.97 / $243.97 / $290.00	Facility	TC	$243.97	$243.97	$290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.70 / $294.97 / $418.37	Professional		$193.70	$294.97	$418.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.09 / $51.00 / $75.09	Professional	26	$34.09	$51.00	$75.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.27 / $243.97 / $341.36	Professional	TC	$158.27	$243.97	$341.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.57 / $384.09 / $488.67	Facility		$245.57	$384.09	$488.67
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.00 / $51.00 / $60.63	Facility	26	$51.00	$51.00	$60.63
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $243.97 / $243.97 / $290.00	Facility	TC	$243.97	$243.97	$290.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $324.76 / $508.55	Professional		$198.38	$324.76	$508.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.43 / $51.00 / $58.68	Professional	26	$35.43	$51.00	$58.68
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $194.71 / $243.97 / $288.14	Professional	TC	$194.71	$243.97	$288.14
United Facility/Professional Professional Modifier Low / Median / High Price $270.44 / $325.38 / $424.97	Professional		$270.44	$325.38	$424.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.11 / $56.84 / $63.70	Professional	26	$48.11	$56.84	$63.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.42 / $267.26 / $363.52	Professional	TC	$228.42	$267.26	$363.52