Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.48 / $709.48 / $709.48	Professional		$709.48	$709.48	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $257.12 / $257.12 / $257.12	Professional	26	$257.12	$257.12	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $452.37 / $452.37 / $452.37	Professional	TC	$452.37	$452.37	$452.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $188.76	Professional		$69.93	$69.93	$188.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $143.36 / $222.02	Professional		$115.71	$143.36	$222.02
United Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $157.65 / $227.88	Professional		$101.04	$157.65	$227.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $39.26 / $81.12	Professional	26	$37.29	$39.26	$81.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.30 / $120.35 / $161.44	Professional	TC	$63.30	$120.35	$161.44