Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $171.00 / $613.82	Professional		$117.46	$171.00	$613.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $72.81 / $190.00	Professional	26	$42.60	$72.81	$190.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.87 / $84.76 / $126.98	Professional	TC	$74.87	$84.76	$126.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $185.08	Professional		$73.09	$73.09	$185.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.09 / $73.09 / $90.35	Facility	26	$73.09	$73.09	$90.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $185.08 / $266.56	Professional		$122.83	$185.08	$266.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.31 / $73.09 / $104.10	Professional	26	$49.31	$73.09	$104.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.17 / $112.00 / $162.46	Professional	TC	$72.17	$112.00	$162.46
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $73.09 / $73.09 / $90.35	Facility	26	$73.09	$73.09	$90.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $204.86 / $316.27	Professional		$123.38	$204.86	$316.27
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.90 / $73.09 / $84.97	Professional	26	$58.90	$73.09	$84.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $80.05 / $112.00 / $130.68	Professional	TC	$80.05	$112.00	$130.68
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $127.58 / $218.66	Professional		$124.51	$127.58	$218.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.15 / $50.89 / $86.02	Professional	26	$50.15	$50.89	$86.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $77.43 / $129.29	Professional	TC	$73.62	$77.43	$129.29