Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.07 / $240.87 / $557.63	Professional		$198.07	$240.87	$557.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.42 / $139.03 / $305.36	Professional	26	$119.42	$139.03	$305.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.39 / $92.39 / $137.05	Professional	TC	$78.39	$92.39	$137.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $202.96 / $332.83	Professional		$202.96	$202.96	$332.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.96 / $202.96 / $241.25	Facility	26	$202.96	$202.96	$241.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.34 / $299.55 / $897.77	Professional		$216.34	$299.55	$897.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.91 / $182.66 / $549.60	Professional	26	$131.91	$182.66	$549.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.42 / $116.88 / $348.17	Professional	TC	$84.42	$116.88	$348.17
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $202.96 / $202.96 / $241.25	Facility	26	$202.96	$202.96	$241.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.34 / $332.83 / $499.84	Professional		$216.34	$332.83	$499.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $106.15 / $182.66 / $224.51	Professional	26	$106.15	$182.66	$224.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $79.31 / $116.88 / $170.58	Professional	TC	$79.31	$116.88	$170.58
United Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $379.90 / $441.32	Professional		$311.52	$379.90	$441.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $179.07 / $220.99 / $259.08	Professional	26	$179.07	$220.99	$259.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.63 / $158.12 / $182.24	Professional	TC	$128.63	$158.12	$182.24