Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.16 / $141.11 / $248.78	Facility	26	$131.16	$141.11	$248.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $199.53 / $670.00	Professional		$111.87	$199.53	$670.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $42.89 / $128.00	Professional	26	$37.59	$42.89	$128.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.47 / $160.87 / $414.16	Professional	TC	$73.47	$160.87	$414.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $62.57 / $171.41	Professional		$62.57	$62.57	$171.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.57 / $62.57 / $77.34	Facility	26	$62.57	$62.57	$77.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $233.05 / $291.63	Professional		$151.57	$233.05	$291.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.88 / $62.57 / $100.01	Professional	26	$40.88	$62.57	$100.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.92 / $163.53 / $212.82	Professional	TC	$100.92	$163.53	$212.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $62.57 / $62.57 / $77.34	Facility	26	$62.57	$62.57	$77.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $176.32 / $282.48	Professional		$105.78	$176.32	$282.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.89 / $62.57 / $82.51	Professional	26	$40.89	$62.57	$82.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $94.92 / $118.73 / $176.50	Professional	TC	$94.92	$118.73	$176.50
United Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $167.05 / $208.00	Professional		$99.52	$167.05	$208.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $37.29 / $76.69	Professional	26	$37.11	$37.29	$76.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $118.32 / $158.47	Professional	TC	$62.58	$118.32	$158.47