Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.12 / $154.12 / $183.26	Facility	26	$154.12	$154.12	$183.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $247.93 / $682.00	Professional		$141.44	$247.93	$682.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $51.92 / $217.30	Professional	26	$44.49	$51.92	$217.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.02 / $201.03 / $221.14	Professional	TC	$92.02	$201.03	$221.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $73.61 / $210.32	Professional		$73.61	$73.61	$210.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.61 / $73.61 / $91.00	Facility	26	$73.61	$73.61	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.32 / $300.31 / $411.50	Professional		$210.32	$300.31	$411.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $73.61 / $117.12	Professional	26	$55.30	$73.61	$117.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.71 / $216.89 / $296.77	Professional	TC	$136.71	$216.89	$296.77
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $73.61 / $73.61 / $91.00	Facility	26	$73.61	$73.61	$91.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $230.80 / $346.60	Professional		$141.25	$230.80	$346.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $73.61 / $103.82	Professional	26	$55.30	$73.61	$103.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $136.71 / $205.40 / $230.36	Professional	TC	$136.71	$205.40	$230.36
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $219.71 / $277.60	Professional		$134.36	$219.71	$277.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $51.09 / $90.00	Professional	26	$43.56	$51.09	$90.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $162.79 / $202.92	Professional	TC	$90.80	$162.79	$202.92