Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $77.64 / $132.21	Professional		$70.01	$77.64	$132.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $30.91 / $47.91	Professional	26	$26.28	$30.91	$47.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.84 / $46.87 / $193.05	Professional	52	$36.84	$46.87	$193.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.74 / $49.53 / $71.75	Professional	TC	$43.74	$49.53	$71.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $107.26	Professional		$46.80	$46.80	$107.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.80 / $46.80 / $57.85	Facility	26	$46.80	$46.80	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $107.26 / $145.59	Professional		$80.40	$107.26	$145.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $46.80 / $66.31	Professional	26	$30.96	$46.80	$66.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.97 / $60.47 / $87.30	Professional	TC	$48.97	$60.47	$87.30
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $46.80 / $46.80 / $57.85	Facility	26	$46.80	$46.80	$57.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $121.77 / $193.23	Professional		$69.40	$121.77	$193.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.02 / $46.80 / $53.89	Professional	26	$36.02	$46.80	$53.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $51.28 / $67.12 / $87.30	Professional	TC	$51.28	$67.12	$87.30
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $73.38 / $120.32	Professional		$67.84	$73.38	$120.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $31.76 / $55.78	Professional	26	$29.87	$31.76	$55.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $43.51 / $64.97	Professional	TC	$36.09	$43.51	$64.97