Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $139.38 / $553.00	Professional		$82.80	$139.38	$553.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $42.04 / $144.00	Professional	26	$34.46	$42.04	$144.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.82 / $94.39 / $243.74	Professional	TC	$82.82	$94.39	$243.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $59.94 / $197.70	Professional		$59.94	$59.94	$197.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.94 / $59.94 / $74.09	Facility	26	$59.94	$59.94	$74.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $182.03 / $297.04	Professional		$136.27	$182.03	$297.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $52.10 / $95.89	Professional	26	$42.17	$52.10	$95.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.10 / $132.72 / $207.90	Professional	TC	$94.10	$132.72	$207.90
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.94 / $59.94 / $74.09	Facility	26	$59.94	$59.94	$74.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $202.74 / $315.08	Professional		$121.64	$202.74	$315.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $59.94 / $76.41	Professional	26	$42.17	$59.94	$76.41
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $94.10 / $137.76 / $181.65	Professional	TC	$94.10	$137.76	$181.65
United Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $152.50 / $239.58	Professional		$148.08	$152.50	$239.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.71 / $46.05 / $73.52	Professional	26	$43.71	$46.05	$73.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.01 / $107.48 / $166.06	Professional	TC	$104.01	$107.48	$166.06