Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $75.26 / $302.57	Professional		$63.39	$75.26	$302.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $17.26 / $46.80	Professional	26	$15.18	$17.26	$46.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.02 / $57.99 / $84.60	Professional	TC	$45.02	$57.99	$84.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $96.75	Professional		$22.61	$22.61	$96.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	26	$22.61	$22.61	$27.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $96.75 / $134.90	Professional		$66.12	$96.75	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $22.61 / $35.27	Professional	26	$17.55	$22.61	$35.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.49 / $73.91 / $94.63	Professional	TC	$47.49	$73.91	$94.63
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	26	$22.61	$22.61	$27.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $99.75 / $155.87	Professional		$59.85	$99.75	$155.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $23.75 / $33.86	Professional	26	$17.42	$23.75	$33.86
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $47.00 / $74.14 / $99.43	Professional	TC	$47.00	$74.14	$99.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $70.43 / $105.84	Professional		$60.27	$70.43	$105.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $19.18 / $29.98	Professional	26	$15.52	$19.18	$29.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $51.25 / $79.36	Professional	TC	$44.75	$51.25	$79.36