Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $259.94 / $598.30	Professional		$161.91	$259.94	$598.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $56.66 / $264.00	Professional	26	$48.57	$56.66	$264.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.98 / $184.15 / $229.28	Professional	TC	$104.98	$184.15	$229.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $83.60 / $239.76	Professional		$83.60	$83.60	$239.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.60 / $83.60 / $103.35	Facility	26	$83.60	$83.60	$103.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $288.97 / $381.40	Professional		$211.74	$288.97	$381.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $83.46 / $131.79	Professional	26	$54.52	$83.46	$131.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.94 / $220.07 / $296.55	Professional	TC	$144.94	$220.07	$296.55
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $83.60 / $83.60 / $103.35	Facility	26	$83.60	$83.60	$103.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $248.03 / $395.12	Professional		$148.81	$248.03	$395.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $83.60 / $109.30	Professional	26	$54.52	$83.60	$109.30
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $136.29 / $170.53 / $234.63	Professional	TC	$136.29	$170.53	$234.63
United Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $217.20 / $424.57	Professional		$140.80	$217.20	$424.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.99 / $49.52 / $101.40	Professional	26	$48.99	$49.52	$101.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.72 / $164.45 / $276.57	Professional	TC	$91.72	$164.45	$276.57