Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $299.41 / $417.48	Professional		$273.08	$299.41	$417.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $39.71 / $56.38	Professional	26	$36.10	$39.71	$56.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.25 / $258.50 / $361.09	Professional	TC	$234.25	$258.50	$361.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $58.36 / $390.67	Professional		$58.36	$58.36	$390.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.36 / $58.36 / $69.38	Facility	26	$58.36	$58.36	$69.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $390.67 / $570.49	Professional		$260.27	$390.67	$570.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.64 / $57.53 / $87.69	Professional	26	$39.64	$57.53	$87.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.95 / $332.31 / $483.46	Professional	TC	$221.95	$332.31	$483.46
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.36 / $58.36 / $69.38	Facility	26	$58.36	$58.36	$69.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $430.69 / $678.37	Professional		$260.27	$430.69	$678.37
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.64 / $57.53 / $65.01	Professional	26	$39.64	$57.53	$65.01
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $221.95 / $332.31 / $400.13	Professional	TC	$221.95	$332.31	$400.13
United Facility/Professional Professional Modifier Low / Median / High Price $369.58 / $436.73 / $512.03	Professional		$369.58	$436.73	$512.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.10 / $61.60 / $71.50	Professional	26	$56.10	$61.60	$71.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $315.58 / $372.93 / $417.94	Professional	TC	$315.58	$372.93	$417.94