Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $352.09 / $663.25	Professional		$302.81	$352.09	$663.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.33 / $56.95 / $180.00	Professional	26	$51.33	$56.95	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $299.74 / $576.02	Professional	TC	$251.27	$299.74	$576.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $623.07 / $623.07	Professional		$87.81	$623.07	$623.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.81 / $87.81 / $104.38	Facility	26	$87.81	$87.81	$104.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $560.76 / $1,700.59	Professional		$202.08	$560.76	$1,700.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $79.03 / $235.95	Professional	26	$55.43	$79.03	$235.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.85 / $481.73 / $1,464.64	Professional	TC	$137.85	$481.73	$1,464.64
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.81 / $87.81 / $104.38	Facility	26	$87.81	$87.81	$104.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $605.54 / $906.62	Professional		$366.85	$605.54	$906.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $79.03 / $96.72	Professional	26	$44.63	$79.03	$96.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $137.85 / $481.73 / $535.26	Professional	TC	$137.85	$481.73	$535.26
United Facility/Professional Professional Modifier Low / Median / High Price $385.13 / $576.79 / $700.39	Professional		$385.13	$576.79	$700.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.08 / $95.12 / $118.38	Professional	26	$77.08	$95.12	$118.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $298.70 / $484.95 / $625.05	Professional	TC	$298.70	$484.95	$625.05