Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $96.27 / $142.22	Professional		$79.14	$96.27	$142.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $34.79 / $50.93	Professional	26	$29.80	$34.79	$50.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.35 / $61.46 / $80.95	Professional	TC	$49.35	$61.46	$80.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.95 / $49.95 / $61.75	Facility	26	$49.95	$49.95	$61.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $126.17 / $200.91	Professional		$93.75	$126.17	$200.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.28 / $49.95 / $75.05	Professional	26	$36.28	$49.95	$75.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.42 / $78.65 / $128.88	Professional	TC	$57.42	$78.65	$128.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $49.95 / $49.95 / $61.75	Facility	26	$49.95	$49.95	$61.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $137.76 / $219.10	Professional		$78.51	$137.76	$219.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $49.95 / $61.67	Professional	26	$42.48	$49.95	$61.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $68.34 / $78.65 / $105.76	Professional	TC	$68.34	$78.65	$105.76
United Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $101.41 / $178.09	Professional		$83.70	$101.41	$178.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $36.81 / $64.64	Professional	26	$34.29	$36.81	$64.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.41 / $64.59 / $113.45	Professional	TC	$49.41	$64.59	$113.45