Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $111.21 / $163.50	Professional		$90.73	$111.21	$163.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.81 / $25.85 / $31.92	Professional	26	$23.81	$25.85	$31.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $82.78 / $131.59	Professional	TC	$66.45	$82.78	$131.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $44.17 / $203.48	Professional		$44.17	$44.17	$203.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $54.60	Facility	26	$44.17	$44.17	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $149.08 / $264.79	Professional		$102.14	$149.08	$264.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $41.91 / $69.40	Professional	26	$26.71	$41.91	$69.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.28 / $107.17 / $195.39	Professional	TC	$75.28	$107.17	$195.39
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $54.60	Facility	26	$44.17	$44.17	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $203.48 / $329.33	Professional		$131.02	$203.48	$329.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.13 / $44.17 / $57.84	Professional	26	$26.13	$44.17	$57.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $73.66 / $122.52 / $174.83	Professional	TC	$73.66	$122.52	$174.83
United Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $125.23 / $219.93	Professional		$94.76	$125.23	$219.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.76 / $30.32 / $53.25	Professional	26	$28.76	$30.32	$53.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.00 / $94.91 / $166.68	Professional	TC	$66.00	$94.91	$166.68