Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $95.15 / $495.00	Professional		$81.68	$95.15	$495.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $28.84 / $98.76	Professional	26	$20.66	$28.84	$98.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.79 / $69.95 / $117.35	Professional	TC	$61.79	$69.95	$117.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $44.17 / $153.53	Professional		$44.17	$44.17	$153.53
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 $75.84 / $134.02 / $225.78	Professional		$75.84	$134.02	$225.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $34.36 / $70.12	Professional	26	$22.18	$34.36	$70.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.71 / $99.66 / $143.34	Professional	TC	$50.71	$99.66	$143.34
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 $97.37 / $153.53 / $250.56	Professional		$97.37	$153.53	$250.56
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $38.69 / $48.47	Professional	26	$22.32	$38.69	$48.47
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $53.24 / $107.86 / $143.97	Professional	TC	$53.24	$107.86	$143.97
United Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $97.80 / $171.75	Professional		$86.65	$97.80	$171.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $30.68 / $53.88	Professional	26	$23.63	$30.68	$53.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.68 / $67.12 / $119.02	Professional	TC	$62.68	$67.12	$119.02