Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $116.66 / $248.38	Professional		$98.26	$116.66	$248.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $30.45 / $66.40	Professional	26	$26.35	$30.45	$66.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.89 / $78.81 / $133.91	Professional	TC	$71.89	$78.81	$133.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $44.17 / $164.58	Professional		$44.17	$44.17	$164.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $54.60	Facility	26	$44.17	$44.17	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $164.58 / $236.69	Professional		$107.95	$164.58	$236.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $44.17 / $66.36	Professional	26	$30.68	$44.17	$66.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.27 / $120.41 / $174.42	Professional	TC	$77.27	$120.41	$174.42
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $54.60	Facility	26	$44.17	$44.17	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $184.85 / $281.23	Professional		$109.71	$184.85	$281.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $44.17 / $50.78	Professional	26	$32.54	$44.17	$50.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $80.23 / $120.41 / $136.28	Professional	TC	$80.23	$120.41	$136.28
United Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $112.09 / $192.67	Professional		$109.64	$112.09	$192.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $31.34 / $53.25	Professional	26	$30.32	$31.34	$53.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.98 / $80.75 / $139.41	Professional	TC	$78.98	$80.75	$139.41