Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $93.53 / $488.00	Professional		$66.52	$93.53	$488.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.35 / $28.26 / $132.00	Professional	26	$25.35	$28.26	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.13 / $52.94 / $316.00	Professional	TC	$48.13	$52.94	$316.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $161.41	Professional		$42.59	$42.59	$161.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.59 / $42.59 / $52.65	Facility	26	$42.59	$42.59	$52.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $161.41 / $242.53	Professional		$92.81	$161.41	$242.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.65 / $41.05 / $67.69	Professional	26	$29.65	$41.05	$67.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.81 / $116.40 / $175.49	Professional	TC	$65.81	$116.40	$175.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $42.59 / $42.59 / $52.65	Facility	26	$42.59	$42.59	$52.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $164.12 / $258.94	Professional		$99.26	$164.12	$258.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.65 / $42.59 / $54.89	Professional	26	$29.65	$42.59	$54.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $66.34 / $118.83 / $175.49	Professional	TC	$66.34	$118.83	$175.49
United Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $90.49 / $186.96	Professional		$78.67	$90.49	$186.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.13 / $25.15 / $51.97	Professional	26	$24.13	$25.15	$51.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.54 / $65.34 / $134.99	Professional	TC	$54.54	$65.34	$134.99