Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $84.28 / $345.00	Professional		$75.43	$84.28	$345.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $34.47 / $104.80	Professional	26	$31.21	$34.47	$104.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.95 / $49.80 / $83.76	Professional	TC	$42.95	$49.80	$83.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $51.53 / $129.87	Professional		$51.53	$51.53	$129.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.53 / $51.53 / $63.70	Facility	26	$51.53	$51.53	$63.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $108.14 / $180.18	Professional		$84.74	$108.14	$180.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $44.03 / $77.42	Professional	26	$37.52	$44.03	$77.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.23 / $61.82 / $106.02	Professional	TC	$47.23	$61.82	$106.02
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.53 / $51.53 / $63.70	Facility	26	$51.53	$51.53	$63.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $136.96 / $214.03	Professional		$82.17	$136.96	$214.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.38 / $51.53 / $77.42	Professional	26	$30.38	$51.53	$77.42
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $78.34 / $117.71	Professional	TC	$44.17	$78.34	$117.71
United Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $85.55 / $147.04	Professional		$83.07	$85.55	$147.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $36.50 / $62.75	Professional	26	$35.45	$36.50	$62.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.62 / $49.05 / $84.29	Professional	TC	$47.62	$49.05	$84.29