Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $133.60 / $695.00	Professional		$109.14	$133.60	$695.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $35.93 / $119.00	Professional	26	$29.91	$35.93	$119.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $89.70 / $163.71	Professional	TC	$79.23	$89.70	$163.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $219.26	Professional		$66.25	$66.25	$219.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.25 / $66.25 / $81.90	Facility	26	$66.25	$66.25	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $188.79 / $316.06	Professional		$109.50	$188.79	$316.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $51.56 / $99.54	Professional	26	$33.27	$51.56	$99.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.12 / $137.22 / $229.89	Professional	TC	$76.12	$137.22	$229.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $66.25 / $66.25 / $81.90	Facility	26	$66.25	$66.25	$81.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $219.26 / $354.47	Professional		$139.11	$219.26	$354.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.31 / $58.78 / $72.70	Professional	26	$33.31	$58.78	$72.70
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.30 / $151.83 / $198.79	Professional	TC	$74.30	$151.83	$198.79
United Facility/Professional Professional Modifier Low / Median / High Price $121.31 / $140.75 / $249.60	Professional		$121.31	$140.75	$249.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $46.19 / $81.12	Professional	26	$35.45	$46.19	$81.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.54 / $94.56 / $166.06	Professional	TC	$85.54	$94.56	$166.06