Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $109.52 / $219.82	Professional		$57.60	$109.52	$219.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $27.85 / $57.60	Professional	26	$23.64	$27.85	$57.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $99.83 / $178.18	Professional	TC	$73.93	$99.83	$178.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $41.54 / $207.69	Professional		$41.54	$41.54	$207.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.54 / $41.54 / $51.35	Facility	26	$41.54	$41.54	$51.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $160.10 / $258.23	Professional		$105.19	$160.10	$258.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.44 / $40.90 / $64.31	Professional	26	$26.44	$40.90	$64.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $118.15 / $193.91	Professional	TC	$78.23	$118.15	$193.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $41.54 / $41.54 / $51.35	Facility	26	$41.54	$41.54	$51.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $207.69 / $331.85	Professional		$128.75	$207.69	$331.85
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $41.54 / $54.41	Professional	26	$26.12	$41.54	$54.41
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $121.93 / $182.33	Professional	TC	$78.23	$121.93	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $122.34 / $216.95	Professional		$103.98	$122.34	$216.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $28.39 / $49.92	Professional	26	$27.93	$28.39	$49.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.59 / $94.19 / $292.29	Professional	TC	$75.59	$94.19	$292.29