Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $247.93 / $877.07	Professional		$141.44	$247.93	$877.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $51.92 / $219.30	Professional	26	$44.49	$51.92	$219.30
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 / $209.79	Professional		$73.61	$73.61	$209.79
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 $209.79 / $298.77 / $411.50	Professional		$209.79	$298.77	$411.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.32 / $73.61 / $117.12	Professional	26	$54.32	$73.61	$117.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.18 / $215.72 / $295.95	Professional	TC	$136.18	$215.72	$295.95
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 $140.90 / $230.22 / $345.73	Professional		$140.90	$230.22	$345.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $73.61 / $96.97	Professional	26	$55.30	$73.61	$96.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $136.18 / $204.61 / $229.12	Professional	TC	$136.18	$204.61	$229.12
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $219.08 / $280.32	Professional		$134.36	$219.08	$280.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $51.09 / $90.00	Professional	26	$43.52	$51.09	$90.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $162.79 / $202.59	Professional	TC	$90.80	$162.79	$202.59