Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.33 / $55.33 / $55.33	Facility	26	$55.33	$55.33	$55.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.26 / $315.56 / $1,104.16	Professional		$185.26	$315.56	$1,104.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $61.64 / $290.00	Professional	26	$52.78	$61.64	$290.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.19 / $259.52 / $285.48	Professional	TC	$124.19	$259.52	$285.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $89.91 / $273.42	Professional		$89.91	$89.91	$273.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.91 / $89.91 / $111.15	Facility	26	$89.91	$89.91	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.42 / $372.48 / $517.80	Professional		$273.42	$372.48	$517.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $89.91 / $142.66	Professional	26	$57.95	$89.91	$142.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.50 / $275.70 / $369.19	Professional	TC	$183.50	$275.70	$369.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $89.91 / $89.91 / $111.15	Facility	26	$89.91	$89.91	$111.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.01 / $299.97 / $450.58	Professional		$184.01	$299.97	$450.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $89.91 / $119.04	Professional	26	$57.95	$89.91	$119.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $183.50 / $271.20 / $293.29	Professional	TC	$183.50	$271.20	$293.29
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $261.70 / $366.46	Professional		$169.02	$261.70	$366.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $53.60 / $109.66	Professional	26	$52.96	$53.60	$109.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.95 / $207.88 / $248.57	Professional	TC	$115.95	$207.88	$248.57