Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.58 / $202.58 / $202.58	Facility	26	$202.58	$202.58	$202.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $150.44 / $502.20	Professional		$88.95	$150.44	$502.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $55.14 / $129.60	Professional	26	$32.13	$55.14	$129.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $70.76 / $159.87	Professional	TC	$56.82	$70.76	$159.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $55.73 / $146.16	Professional		$55.73	$55.73	$146.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $55.73 / $68.90	Facility	26	$55.73	$55.73	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $146.16 / $209.96	Professional		$99.49	$146.16	$209.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.97 / $55.73 / $79.13	Professional	26	$37.97	$55.73	$79.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.21 / $90.44 / $131.37	Professional	TC	$60.21	$90.44	$131.37
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $55.73 / $68.90	Facility	26	$55.73	$55.73	$68.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $160.63 / $250.68	Professional		$97.79	$160.63	$250.68
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.78 / $55.73 / $64.54	Professional	26	$44.78	$55.73	$64.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $66.69 / $90.44 / $105.13	Professional	TC	$66.69	$90.44	$105.13
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $100.66 / $171.12	Professional		$97.44	$100.66	$171.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.97 / $38.25 / $67.17	Professional	26	$37.97	$38.25	$67.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.19 / $62.68 / $103.95	Professional	TC	$59.19	$62.68	$103.95