Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.65 / $55.65 / $55.65	Facility	26	$55.65	$55.65	$55.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.62 / $316.26 / $1,110.28	Professional		$186.62	$316.26	$1,110.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.82 / $61.64 / $290.00	Professional	26	$52.82	$61.64	$290.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.89 / $229.91 / $286.25	Professional	TC	$124.89	$229.91	$286.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $90.44 / $274.99	Professional		$90.44	$90.44	$274.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.44 / $90.44 / $111.80	Facility	26	$90.44	$90.44	$111.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.99 / $373.64 / $520.64	Professional		$274.99	$373.64	$520.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.30 / $90.44 / $142.66	Professional	26	$58.30	$90.44	$142.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $277.29 / $370.19	Professional	TC	$184.56	$277.29	$370.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $90.44 / $90.44 / $111.80	Facility	26	$90.44	$90.44	$111.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $301.60 / $453.18	Professional		$185.41	$301.60	$453.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.30 / $90.44 / $119.04	Professional	26	$58.30	$90.44	$119.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $272.95 / $295.16	Professional	TC	$184.56	$272.95	$295.16
United Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $262.33 / $354.57	Professional		$169.95	$262.33	$354.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $53.61 / $109.66	Professional	26	$52.96	$53.61	$109.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $208.73 / $321.14	Professional	TC	$116.88	$208.73	$321.14