Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $221.44 / $978.22	Professional		$107.59	$221.44	$978.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $53.55 / $236.00	Professional	26	$44.49	$53.55	$236.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.93 / $201.03 / $631.84	Professional	TC	$110.93	$201.03	$631.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $73.61 / $260.80	Professional		$73.61	$73.61	$260.80
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 $233.48 / $285.29 / $416.32	Professional		$233.48	$285.29	$416.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $73.61 / $117.12	Professional	26	$52.25	$73.61	$117.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.97 / $208.94 / $293.52	Professional	TC	$166.97	$208.94	$293.52
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 $164.34 / $273.91 / $427.46	Professional		$164.34	$273.91	$427.46
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $73.61 / $98.48	Professional	26	$52.25	$73.61	$98.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $166.97 / $205.41 / $281.24	Professional	TC	$166.97	$205.41	$281.24
United Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $209.68 / $465.27	Professional		$154.30	$209.68	$465.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $47.96 / $90.00	Professional	26	$43.56	$47.96	$90.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.74 / $161.72 / $228.80	Professional	TC	$110.74	$161.72	$228.80