Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $295.77 / $609.47	Professional		$266.75	$295.77	$609.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.93 / $188.02 / $442.45	Professional	26	$168.93	$188.02	$442.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.52 / $116.85 / $174.46	Professional	TC	$97.52	$116.85	$174.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $286.56 / $449.03	Professional		$286.56	$286.56	$449.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $286.56 / $286.56 / $340.63	Facility	26	$286.56	$286.56	$340.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.87 / $404.13 / $1,222.93	Professional		$291.87	$404.13	$1,222.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.26 / $257.89 / $779.80	Professional	26	$186.26	$257.89	$779.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.61 / $146.51 / $443.13	Professional	TC	$105.61	$146.51	$443.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $286.56 / $286.56 / $340.63	Facility	26	$286.56	$286.56	$340.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $449.03 / $674.42	Professional		$285.62	$449.03	$674.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $151.00 / $257.89 / $315.95	Professional	26	$151.00	$257.89	$315.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $100.49 / $146.22 / $189.93	Professional	TC	$100.49	$146.22	$189.93
United Facility/Professional Professional Modifier Low / Median / High Price $412.80 / $498.80 / $584.79	Professional		$412.80	$498.80	$584.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $258.72 / $312.62 / $366.52	Professional	26	$258.72	$312.62	$366.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.08 / $187.38 / $225.55	Professional	TC	$154.08	$187.38	$225.55