Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $177.40 / $489.00	Professional		$93.43	$177.40	$489.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $51.45 / $184.00	Professional	26	$36.61	$51.45	$184.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $64.65 / $118.51	Professional	TC	$56.82	$64.65	$118.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $173.51	Professional		$63.10	$63.10	$173.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $78.00	Facility	26	$63.10	$63.10	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $173.51 / $246.56	Professional		$98.04	$173.51	$246.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.93 / $63.10 / $90.76	Professional	26	$42.93	$63.10	$90.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.40 / $110.42 / $158.47	Professional	TC	$51.40	$110.42	$158.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $78.00	Facility	26	$63.10	$63.10	$78.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $189.73 / $295.61	Professional		$115.31	$189.73	$295.61
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.78 / $63.10 / $74.55	Professional	26	$51.78	$63.10	$74.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $70.48 / $110.42 / $127.56	Professional	TC	$70.48	$110.42	$127.56
United Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $115.13 / $194.60	Professional		$112.09	$115.13	$194.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $43.31 / $76.06	Professional	26	$42.77	$43.31	$76.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.31 / $71.81 / $126.13	Professional	TC	$69.31	$71.81	$126.13