Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $160.90 / $346.50	Professional		$118.48	$160.90	$346.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $42.94 / $97.20	Professional	26	$30.53	$42.94	$97.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $100.06 / $189.78	Professional	TC	$87.95	$100.06	$189.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $50.48 / $317.58	Professional		$50.48	$50.48	$317.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.48 / $50.48 / $62.40	Facility	26	$50.48	$50.48	$62.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $153.65 / $317.58	Professional		$115.16	$153.65	$317.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $50.48 / $69.70	Professional	26	$34.53	$50.48	$69.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.27 / $104.93 / $267.11	Professional	TC	$75.27	$104.93	$267.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $50.48 / $50.48 / $62.40	Facility	26	$50.48	$50.48	$62.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $317.58 / $548.98	Professional		$153.65	$317.58	$548.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $50.48 / $57.70	Professional	26	$39.90	$50.48	$57.70
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $78.65 / $104.93 / $267.11	Professional	TC	$78.65	$104.93	$267.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $159.88 / $280.77	Professional		$138.27	$159.88	$280.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $36.50 / $60.22	Professional	26	$34.29	$36.50	$60.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.64 / $125.59 / $220.56	Professional	TC	$90.64	$125.59	$220.56