Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $115.64 / $373.17	Professional		$84.82	$115.64	$373.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $28.91 / $156.00	Professional	26	$24.78	$28.91	$156.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $89.34 / $138.78	Professional	TC	$18.29	$89.34	$138.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $67.30 / $84.65	Professional		$67.30	$67.30	$84.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.30 / $67.30 / $83.20	Facility	26	$67.30	$67.30	$83.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $131.97 / $191.48	Professional		$84.65	$131.97	$191.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $52.38 / $73.08	Professional	26	$32.40	$52.38	$73.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.35 / $96.74 / $139.10	Professional	TC	$17.35	$96.74	$139.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $67.30 / $67.30 / $83.20	Facility	26	$67.30	$67.30	$83.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $107.01 / $191.48	Professional		$60.99	$107.01	$191.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $52.76 / $67.30	Professional	26	$37.36	$52.76	$67.30
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.35 / $93.07 / $139.10	Professional	TC	$17.35	$93.07	$139.10
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $116.01 / $148.93	Professional		$79.04	$116.01	$148.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.34 / $32.11 / $56.41	Professional	26	$31.34	$32.11	$56.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $66.30 / $93.66	Professional	TC	$46.92	$66.30	$93.66