Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $382.67 / $714.81	Professional		$316.31	$382.67	$714.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $329.94 / $627.58	Professional	TC	$264.98	$329.94	$627.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $87.81 / $651.99	Professional		$87.81	$87.81	$651.99
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 $256.02 / $586.79 / $1,831.51	Professional		$256.02	$586.79	$1,831.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.66 / $507.76 / $1,595.56	Professional	TC	$193.66	$507.76	$1,595.56
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 $399.85 / $634.27 / $985.08	Professional		$399.85	$634.27	$985.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $199.47 / $507.76 / $564.17	Professional	TC	$199.47	$507.76	$564.17
United Facility/Professional Professional Modifier Low / Median / High Price $336.03 / $609.94 / $754.11	Professional		$336.03	$609.94	$754.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.16 / $528.63 / $641.91	Professional	TC	$320.16	$528.63	$641.91