Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.07 / $347.32 / $487.30	Professional		$242.07	$347.32	$487.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.15 / $95.81 / $156.32	Professional	26	$92.15	$95.81	$156.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.69 / $253.00 / $330.97	Professional	TC	$146.69	$253.00	$330.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $157.21 / $462.70	Professional		$157.21	$157.21	$462.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.21 / $157.21 / $186.88	Facility	26	$157.21	$157.21	$186.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $416.43 / $1,264.65	Professional		$194.62	$416.43	$1,264.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.09 / $141.49 / $424.43	Professional	26	$102.09	$141.49	$424.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.73 / $274.94 / $840.22	Professional	TC	$76.73	$274.94	$840.22
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $157.21 / $157.21 / $186.88	Facility	26	$157.21	$157.21	$186.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $416.43 / $651.44	Professional		$270.58	$416.43	$651.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $141.49 / $174.10	Professional	26	$81.76	$141.49	$174.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $80.84 / $274.94 / $345.13	Professional	TC	$80.84	$274.94	$345.13
United Facility/Professional Professional Modifier Low / Median / High Price $340.28 / $448.88 / $593.67	Professional		$340.28	$448.88	$593.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.74 / $170.43 / $212.20	Professional	26	$139.74	$170.43	$212.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.40 / $260.10 / $390.73	Professional	TC	$206.40	$260.10	$390.73