Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $133.99 / $252.95	Professional		$109.45	$133.99	$252.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $50.59 / $146.91	Professional	26	$29.91	$50.59	$146.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $99.05 / $177.61	Professional	TC	$79.54	$99.05	$177.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $76.23 / $241.87	Professional		$76.23	$76.23	$241.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.23 / $76.23 / $94.25	Facility	26	$76.23	$76.23	$94.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $227.36 / $363.40	Professional		$114.27	$227.36	$363.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $51.56 / $114.55	Professional	26	$33.27	$51.56	$114.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.53 / $165.63 / $259.08	Professional	TC	$77.53	$165.63	$259.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $76.23 / $76.23 / $94.25	Facility	26	$76.23	$76.23	$94.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $244.44 / $391.35	Professional		$153.02	$244.44	$391.35
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $57.62 / $83.67	Professional	26	$33.49	$57.62	$83.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $78.70 / $165.63 / $248.85	Professional	TC	$78.70	$165.63	$248.85
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $156.63 / $275.07	Professional		$144.54	$156.63	$275.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $53.05 / $135.07	Professional	26	$35.45	$53.05	$135.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $116.00 / $181.90	Professional	TC	$103.58	$116.00	$181.90