Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $255.22 / $719.10	Professional		$230.57	$255.22	$719.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.35 / $147.96 / $242.34	Professional	26	$142.35	$147.96	$242.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $104.53 / $152.46	Professional	TC	$87.95	$104.53	$152.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.39 / $242.39 / $389.09	Professional		$242.39	$242.39	$389.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $242.39 / $242.39 / $288.13	Facility	26	$242.39	$242.39	$288.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.91 / $350.18 / $1,044.52	Professional		$252.91	$350.18	$1,044.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $157.55 / $218.15 / $657.50	Professional	26	$157.55	$218.15	$657.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.36 / $132.03 / $387.02	Professional	TC	$95.36	$132.03	$387.02
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $242.39 / $242.39 / $288.13	Facility	26	$242.39	$242.39	$288.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.38 / $389.09 / $584.07	Professional		$247.38	$389.09	$584.07
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $127.35 / $218.15 / $266.72	Professional	26	$127.35	$218.15	$266.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $89.74 / $132.03 / $171.76	Professional	TC	$89.74	$132.03	$171.76
United Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $430.95 / $505.25	Professional		$356.64	$430.95	$505.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $217.92 / $265.06 / $327.70	Professional	26	$217.92	$265.06	$327.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.72 / $167.62 / $208.60	Professional	TC	$138.72	$167.62	$208.60