Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.16 / $85.36 / $223.68	Facility	26	$49.16	$85.36	$223.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $57.49 / $227.21	Professional		$50.14	$57.49	$227.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $44.08 / $140.44	Professional	26	$26.57	$44.08	$140.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.55 / $57.49 / $299.00	Professional	52	$14.55	$57.49	$299.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $25.57 / $141.00	Professional	TC	$23.57	$25.57	$141.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $82.02	Professional		$82.02	$82.02	$82.02
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 $59.00 / $79.03 / $123.24	Professional		$59.00	$79.03	$123.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.51 / $43.00 / $70.12	Professional	26	$32.51	$43.00	$70.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $36.04 / $56.83	Professional	TC	$26.30	$36.04	$56.83
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 $50.47 / $84.12 / $132.40	Professional		$50.47	$84.12	$132.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.21 / $44.17 / $58.46	Professional	26	$32.21	$44.17	$58.46
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $37.86 / $49.41	Professional	TC	$25.57	$37.86	$49.41
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.68 / $98.24	Professional		$61.44	$63.68	$98.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $34.47 / $53.88	Professional	26	$33.47	$34.47	$53.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $29.21 / $44.36	Professional	TC	$27.78	$29.21	$44.36