Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $158.75 / $364.32	Professional		$134.40	$158.75	$364.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.97 / $58.98 / $169.60	Professional	26	$47.97	$58.98	$169.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $98.24 / $154.18	Professional	TC	$88.29	$98.24	$154.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $79.92 / $222.41	Professional		$79.92	$79.92	$222.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.92 / $79.92 / $98.80	Facility	26	$79.92	$79.92	$98.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.49 / $201.41 / $334.17	Professional		$149.49	$201.41	$334.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.48 / $71.16 / $125.35	Professional	26	$54.48	$71.16	$125.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.02 / $130.25 / $214.09	Professional	TC	$95.02	$130.25	$214.09
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $79.92 / $79.92 / $98.80	Facility	26	$79.92	$79.92	$98.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $229.16 / $366.53	Professional		$137.49	$229.16	$366.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.63 / $79.92 / $104.51	Professional	26	$57.63	$79.92	$104.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $99.43 / $142.49 / $191.93	Professional	TC	$99.43	$142.49	$191.93
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $137.28 / $277.60	Professional		$134.36	$137.28	$277.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.95 / $47.33 / $141.53	Professional	26	$45.95	$47.33	$141.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.03 / $89.95 / $183.67	Professional	TC	$88.03	$89.95	$183.67