Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $410.14 / $773.65	Professional		$338.67	$410.14	$773.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $56.95 / $232.00	Professional	26	$51.32	$56.95	$232.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $359.25 / $686.43	Professional	TC	$287.33	$359.25	$686.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $87.81 / $717.72	Professional		$87.81	$87.81	$717.72
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 $208.97 / $645.95 / $1,982.58	Professional		$208.97	$645.95	$1,982.58
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 $150.13 / $566.91 / $1,746.63	Professional	TC	$150.13	$566.91	$1,746.63
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 $430.58 / $699.87 / $1,051.65	Professional		$430.58	$699.87	$1,051.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.29 / $79.03 / $96.72	Professional	26	$44.29	$79.03	$96.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $164.33 / $566.91 / $629.91	Professional	TC	$164.33	$566.91	$629.91
United Facility/Professional Professional Modifier Low / Median / High Price $421.08 / $667.47 / $831.65	Professional		$421.08	$667.47	$831.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.55 / $94.72 / $112.21	Professional	26	$77.55	$94.72	$112.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $335.24 / $581.90 / $719.44	Professional	TC	$335.24	$581.90	$719.44