Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $86.40 / $180.00	Professional		$73.73	$86.40	$180.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $19.16 / $44.32	Professional	26	$18.16	$19.16	$44.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $64.13 / $135.65	Professional	TC	$55.57	$64.13	$135.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $31.02 / $155.63	Professional		$31.02	$31.02	$155.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.02 / $31.02 / $38.35	Facility	26	$31.02	$31.02	$38.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $113.97 / $206.79	Professional		$82.00	$113.97	$206.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $27.16 / $48.58	Professional	26	$21.98	$27.16	$48.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.02 / $84.63 / $155.51	Professional	TC	$60.02	$84.63	$155.51
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.02 / $31.02 / $38.35	Facility	26	$31.02	$31.02	$38.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $155.63 / $249.72	Professional		$96.21	$155.63	$249.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $31.02 / $39.88	Professional	26	$21.98	$31.02	$39.88
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $60.02 / $115.72 / $136.75	Professional	TC	$60.02	$115.72	$136.75
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $94.55 / $166.05	Professional		$81.28	$94.55	$166.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $21.39 / $37.39	Professional	26	$20.77	$21.39	$37.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.51 / $73.26 / $128.66	Professional	TC	$60.51	$73.26	$128.66