Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $104.98 / $441.00	Professional		$93.15	$104.98	$441.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.67 / $37.54 / $67.50	Professional	26	$32.67	$37.54	$67.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $191.91 / $661.50 / $749.61	Professional	50	$191.91	$661.50	$749.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.03 / $70.84 / $116.77	Professional	TC	$66.03	$70.84	$116.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $161.94 / $161.94	Professional		$161.94	$161.94	$161.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.16 / $54.16 / $66.95	Facility	26	$54.16	$54.16	$66.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $161.94 / $232.72	Professional		$113.84	$161.94	$232.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.01 / $54.16 / $76.26	Professional	26	$40.01	$54.16	$76.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.63 / $107.79 / $147.91	Professional	TC	$73.63	$107.79	$147.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $54.16 / $54.16 / $66.95	Facility	26	$54.16	$54.16	$66.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $178.09 / $278.52	Professional		$108.66	$178.09	$278.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.15 / $54.16 / $62.26	Professional	26	$43.15	$54.16	$62.26
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $84.94 / $107.79 / $125.69	Professional	TC	$84.94	$107.79	$125.69
United Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $112.83 / $191.41	Professional		$108.99	$112.83	$191.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $38.72 / $65.28	Professional	26	$37.17	$38.72	$65.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $72.48 / $126.13	Professional	TC	$71.81	$72.48	$126.13