Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $100.36 / $117.41	Professional		$74.38	$100.36	$117.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.76 / $69.26 / $86.27	Professional	TC	$50.76	$69.26	$86.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $43.12 / $140.91	Professional		$43.12	$43.12	$140.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.12 / $43.12 / $53.30	Facility	26	$43.12	$43.12	$53.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $140.91 / $211.79	Professional		$90.01	$140.91	$211.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.70 / $97.80 / $146.57	Professional	TC	$57.70	$97.80	$146.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $43.12 / $43.12 / $53.30	Facility	26	$43.12	$43.12	$53.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $145.04 / $226.26	Professional		$87.02	$145.04	$226.26
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $56.47 / $97.80 / $146.71	Professional	TC	$56.47	$97.80	$146.71
United Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $126.11 / $174.30	Professional		$93.09	$126.11	$174.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.87 / $90.10 / $118.52	Professional	TC	$60.87	$90.10	$118.52