Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $138.69 / $180.35	Professional		$90.93	$138.69	$180.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.58 / $100.62 / $118.51	Professional	TC	$57.58	$100.62	$118.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $62.04 / $171.94	Professional		$62.04	$62.04	$171.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.04 / $62.04 / $76.70	Facility	26	$62.04	$62.04	$76.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $179.90 / $230.02	Professional		$127.64	$179.90	$230.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.56 / $128.72 / $165.11	Professional	TC	$79.56	$128.72	$165.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $62.04 / $62.04 / $76.70	Facility	26	$62.04	$62.04	$76.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $171.94 / $275.70	Professional		$106.11	$171.94	$275.70
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $64.70 / $88.93 / $165.11	Professional	TC	$64.70	$88.93	$165.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $137.54 / $304.33	Professional		$104.66	$137.54	$304.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.80 / $88.75 / $111.37	Professional	TC	$62.80	$88.75	$111.37