Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.20 / $738.53 / $1,077.18	Professional		$606.20	$738.53	$1,077.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.37 / $130.04 / $537.00	Professional	26	$113.37	$130.04	$537.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $284.48 / $320.37 / $494.79	Professional	52	$284.48	$320.37	$494.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $484.78 / $602.07 / $884.77	Professional	TC	$484.78	$602.07	$884.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $984.30	Professional		$182.45	$182.45	$984.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.45 / $182.45 / $216.88	Facility	26	$182.45	$182.45	$216.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $915.80 / $1,388.15	Professional		$639.79	$915.80	$1,388.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $182.45 / $250.07	Professional	26	$118.59	$182.45	$250.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $521.20 / $735.54 / $1,138.08	Professional	TC	$521.20	$735.54	$1,138.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $182.45 / $182.45 / $216.88	Facility	26	$182.45	$182.45	$216.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.87 / $968.94 / $1,438.39	Professional		$608.87	$968.94	$1,438.39
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $99.38 / $171.49 / $202.83	Professional	26	$99.38	$171.49	$202.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $458.59 / $721.67 / $837.68	Professional	TC	$458.59	$721.67	$837.68
United Facility/Professional Professional Modifier Low / Median / High Price $894.92 / $998.18 / $1,329.92	Professional		$894.92	$998.18	$1,329.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $175.95 / $200.11 / $298.24	Professional	26	$175.95	$200.11	$298.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $701.76 / $825.60 / $1,031.68	Professional	TC	$701.76	$825.60	$1,031.68