Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $201.82 / $238.19	Professional		$123.60	$201.82	$238.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $56.85 / $100.10	Professional	26	$49.65	$56.85	$100.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.99 / $144.61 / $180.05	Professional	TC	$56.99	$144.61	$180.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $104.63 / $199.28	Professional		$104.63	$104.63	$199.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.63 / $104.63 / $129.35	Facility	26	$104.63	$104.63	$129.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $307.58 / $528.89	Professional		$183.94	$307.58	$528.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.53 / $86.30 / $157.21	Professional	26	$56.53	$86.30	$157.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.64 / $171.23 / $469.01	Professional	TC	$94.64	$171.23	$469.01
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $104.63 / $104.63 / $129.35	Facility	26	$104.63	$104.63	$129.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $215.71 / $336.16	Professional		$123.58	$215.71	$336.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.24 / $94.28 / $114.82	Professional	26	$55.24	$94.28	$114.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $94.64 / $133.86 / $299.58	Professional	TC	$94.64	$133.86	$299.58
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $207.22 / $250.88	Professional		$141.47	$207.22	$250.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $71.81 / $126.13	Professional	26	$56.93	$71.81	$126.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.65 / $106.15 / $172.20	Professional	TC	$69.65	$106.15	$172.20