Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.39 / $440.88 / $749.38	Professional		$403.39	$440.88	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $58.77 / $99.27	Professional	26	$54.87	$58.77	$99.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $345.06 / $382.16 / $661.88	Professional	TC	$345.06	$382.16	$661.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $88.33 / $681.44	Professional		$88.33	$88.33	$681.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.33 / $88.33 / $105.00	Facility	26	$88.33	$88.33	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.94 / $681.44 / $971.85	Professional		$442.94	$681.44	$971.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.41 / $92.25 / $124.79	Professional	26	$57.41	$92.25	$124.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $385.52 / $590.73 / $850.82	Professional	TC	$385.52	$590.73	$850.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $88.33 / $88.33 / $105.00	Facility	26	$88.33	$88.33	$105.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $665.37 / $989.83	Professional		$423.04	$665.37	$989.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.42 / $88.33 / $105.45	Professional	26	$48.42	$88.33	$105.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $303.55 / $533.79 / $698.86	Professional	TC	$303.55	$533.79	$698.86
United Facility/Professional Professional Modifier Low / Median / High Price $608.91 / $667.47 / $1,155.32	Professional		$608.91	$667.47	$1,155.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.68 / $94.08 / $154.47	Professional	26	$85.68	$94.08	$154.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $475.02 / $571.71 / $687.05	Professional	TC	$475.02	$571.71	$687.05