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 / $154.12	Facility	26	$154.12	$154.12	$154.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $247.93 / $872.99	Professional		$140.75	$247.93	$872.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $51.26 / $203.30	Professional	26	$44.25	$51.26	$203.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.32 / $201.03 / $221.14	Professional	TC	$91.32	$201.03	$221.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $73.61 / $208.74	Professional		$73.61	$73.61	$208.74
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 $208.74 / $298.38 / $409.61	Professional		$208.74	$298.38	$409.61
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 $135.13 / $214.55 / $294.33	Professional	TC	$135.13	$214.55	$294.33
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 $140.55 / $229.41 / $344.00	Professional		$140.55	$229.41	$344.00
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 $135.13 / $203.03 / $227.87	Professional	TC	$135.13	$203.03	$227.87
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $218.76 / $279.04	Professional		$133.75	$218.76	$279.04
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 $90.19 / $167.57 / $202.27	Professional	TC	$90.19	$167.57	$202.27