Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $285.14 / $1,126.00	Professional		$246.93	$285.14	$1,126.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.34 / $94.20 / $361.65	Professional	26	$83.34	$94.20	$361.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $169.77 / $357.62	Professional	TC	$162.34	$169.77	$357.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $85.18 / $416.96	Professional		$85.18	$85.18	$416.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.18 / $85.18 / $101.25	Facility	26	$85.18	$85.18	$101.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.54 / $416.96 / $687.22	Professional		$279.54	$416.96	$687.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.40 / $89.74 / $144.41	Professional	26	$72.40	$89.74	$144.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.69 / $331.78 / $508.81	Professional	TC	$215.69	$331.78	$508.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $85.18 / $85.18 / $101.25	Facility	26	$85.18	$85.18	$101.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $463.85 / $798.00	Professional		$280.39	$463.85	$798.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $72.40 / $85.18 / $98.18	Professional	26	$72.40	$85.18	$98.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $270.39 / $331.78 / $400.13	Professional	TC	$270.39	$331.78	$400.13
United Facility/Professional Professional Modifier Low / Median / High Price $384.31 / $461.97 / $637.42	Professional		$384.31	$461.97	$637.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.14 / $94.55 / $151.71	Professional	26	$83.14	$94.55	$151.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $312.74 / $371.99 / $474.87	Professional	TC	$312.74	$371.99	$474.87