Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $147.25 / $585.14	Professional		$112.34	$147.25	$585.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.91 / $45.80 / $143.10	Professional	26	$28.91	$45.80	$143.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.53 / $96.17 / $138.75	Professional	TC	$84.53	$96.17	$138.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $157.74	Professional		$46.80	$46.80	$157.74
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 $80.59 / $113.96 / $230.70	Professional		$80.59	$113.96	$230.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $46.80 / $66.64	Professional	26	$32.40	$46.80	$66.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.12 / $72.17 / $164.05	Professional	TC	$46.12	$72.17	$164.05
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 $98.62 / $163.92 / $273.14	Professional		$98.62	$163.92	$273.14
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $46.80 / $54.39	Professional	26	$37.72	$46.80	$54.39
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $46.12 / $67.37 / $127.80	Professional	TC	$46.12	$67.37	$127.80
United Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $118.36 / $187.61	Professional		$101.24	$118.36	$187.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $32.58 / $57.04	Professional	26	$32.47	$32.58	$57.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.01 / $82.41 / $130.57	Professional	TC	$53.01	$82.41	$130.57