Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $123.53 / $615.00	Professional		$101.04	$123.53	$615.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $40.25 / $167.00	Professional	26	$29.91	$40.25	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $82.19 / $143.43	Professional	TC	$71.14	$82.19	$143.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $59.42 / $193.49	Professional		$59.42	$59.42	$193.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.42 / $59.42 / $73.45	Facility	26	$59.42	$59.42	$73.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $166.24 / $284.39	Professional		$97.96	$166.24	$284.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $51.56 / $89.27	Professional	26	$33.27	$51.56	$89.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.87 / $114.69 / $199.35	Professional	TC	$62.87	$114.69	$199.35
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.42 / $59.42 / $73.45	Facility	26	$59.42	$59.42	$73.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $193.49 / $313.41	Professional		$121.96	$193.49	$313.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.31 / $58.20 / $68.12	Professional	26	$33.31	$58.20	$68.12
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $65.41 / $128.96 / $167.95	Professional	TC	$65.41	$128.96	$167.95
United Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $122.34 / $214.85	Professional		$106.19	$122.34	$214.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $41.50 / $72.88	Professional	26	$35.45	$41.50	$72.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.42 / $80.84 / $141.97	Professional	TC	$70.42	$80.84	$141.97