Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $113.30 / $338.80	Professional		$77.42	$113.30	$338.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $19.50 / $64.31	Professional	26	$16.17	$19.50	$64.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $93.80 / $274.49	Professional	TC	$60.10	$93.80	$274.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $29.97 / $186.13	Professional		$29.97	$29.97	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $126.15 / $235.29	Professional		$68.69	$126.15	$235.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $28.28 / $44.88	Professional	26	$18.71	$28.28	$44.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.83 / $97.95 / $190.42	Professional	TC	$49.83	$97.95	$190.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $186.13 / $294.98	Professional		$115.46	$186.13	$294.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $29.97 / $37.90	Professional	26	$18.16	$29.97	$37.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $51.90 / $117.93 / $171.37	Professional	TC	$51.90	$117.93	$171.37
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $110.43 / $195.83	Professional		$74.48	$110.43	$195.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $19.54 / $34.22	Professional	26	$19.48	$19.54	$34.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.94 / $90.94 / $272.85	Professional	TC	$54.94	$90.94	$272.85