Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $92.40 / $174.28	Professional		$80.37	$92.40	$174.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.33 / $39.78 / $168.35	Professional	26	$35.33	$39.78	$168.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.57 / $56.22 / $72.51	Professional	TC	$40.57	$56.22	$72.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $123.04	Professional		$58.89	$58.89	$123.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $72.80	Facility	26	$58.89	$58.89	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $138.78 / $186.01	Professional		$89.05	$138.78	$186.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.67 / $58.66 / $93.46	Professional	26	$39.67	$58.66	$93.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.58 / $71.09 / $135.22	Professional	TC	$39.58	$71.09	$135.22
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $72.80	Facility	26	$58.89	$58.89	$72.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $118.39 / $190.23	Professional		$74.33	$118.39	$190.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $58.89 / $77.03	Professional	26	$39.70	$58.89	$77.03
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.71 / $54.67 / $96.38	Professional	TC	$31.71	$54.67	$96.38
United Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $82.74 / $128.66	Professional		$62.27	$82.74	$128.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $34.65 / $103.59	Professional	26	$34.39	$34.65	$103.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.78 / $46.64 / $57.60	Professional	TC	$26.78	$46.64	$57.60