Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $348.98 / $396.98 / $755.37	Professional	TC	$348.98	$396.98	$755.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.45 / $182.45 / $216.88	Facility	26	$182.45	$182.45	$216.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $374.86 / $624.49 / $1,920.72	Professional	TC	$374.86	$624.49	$1,920.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $182.45 / $182.45 / $216.88	Facility	26	$182.45	$182.45	$216.88
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $305.52 / $624.49 / $697.74	Professional	TC	$305.52	$624.49	$697.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $439.89 / $640.07 / $937.25	Professional	TC	$439.89	$640.07	$937.25