Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $334.37 / $638.79	Professional		$292.89	$334.37	$638.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $166.87 / $187.49 / $254.41	Professional	52	$166.87	$187.49	$254.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $292.61 / $569.08	Professional	TC	$252.77	$292.61	$569.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $591.53	Professional		$69.93	$69.93	$591.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.93 / $69.93 / $83.13	Facility	26	$69.93	$69.93	$83.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.68 / $532.38 / $1,635.85	Professional		$320.68	$532.38	$1,635.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $271.51 / $469.43 / $1,447.37	Professional	TC	$271.51	$469.43	$1,447.37
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $69.93 / $69.93 / $83.13	Facility	26	$69.93	$69.93	$83.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.33 / $574.48 / $862.24	Professional		$359.33	$574.48	$862.24
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $227.32 / $469.43 / $521.59	Professional	TC	$227.32	$469.43	$521.59
United Facility/Professional Professional Modifier Low / Median / High Price $469.26 / $556.16 / $671.85	Professional		$469.26	$556.16	$671.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $400.14 / $487.92 / $884.29	Professional	TC	$400.14	$487.92	$884.29