Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $259.57 / $612.76	Professional		$164.56	$259.57	$612.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $64.83 / $301.00	Professional	26	$57.10	$64.83	$301.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.72 / $201.03 / $221.14	Professional	TC	$99.72	$201.03	$221.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $242.39	Professional		$94.64	$94.64	$242.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.64 / $94.64 / $117.00	Facility	26	$94.64	$94.64	$117.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.39 / $279.02 / $384.35	Professional		$242.39	$279.02	$384.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $94.64 / $149.96	Professional	26	$61.71	$94.64	$149.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.75 / $205.75 / $286.52	Professional	TC	$147.75	$205.75	$286.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $94.64 / $94.64 / $117.00	Facility	26	$94.64	$94.64	$117.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $251.71 / $399.46	Professional		$163.33	$251.71	$399.46
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $94.64 / $125.20	Professional	26	$61.71	$94.64	$125.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $147.75 / $171.76 / $221.99	Professional	TC	$147.75	$171.76	$221.99
United Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $216.89 / $296.31	Professional		$142.03	$216.89	$296.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.69 / $56.42 / $115.35	Professional	26	$55.69	$56.42	$115.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $154.78 / $202.11	Professional	TC	$86.20	$154.78	$202.11