Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.33 / $176.85 / $718.40	Professional		$154.33	$176.85	$718.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.89 / $52.38 / $241.14	Professional	26	$42.89	$52.38	$241.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.50 / $120.78 / $296.19	Professional	TC	$105.50	$120.78	$296.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $73.61 / $250.28	Professional		$73.61	$73.61	$250.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.61 / $73.61 / $91.00	Facility	26	$73.61	$73.61	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $231.54 / $376.04	Professional		$172.78	$231.54	$376.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.40 / $64.75 / $117.12	Professional	26	$52.40	$64.75	$117.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.38 / $169.80 / $266.08	Professional	TC	$120.38	$169.80	$266.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $73.61 / $73.61 / $91.00	Facility	26	$73.61	$73.61	$91.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $256.12 / $397.21	Professional		$153.72	$256.12	$397.21
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.40 / $73.61 / $94.98	Professional	26	$52.40	$73.61	$94.98
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $120.38 / $176.67 / $232.36	Professional	TC	$120.38	$176.67	$232.36
United Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $193.47 / $304.64	Professional		$187.87	$193.47	$304.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.35 / $56.38 / $90.00	Professional	26	$54.35	$56.38	$90.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.59 / $137.50 / $211.69	Professional	TC	$132.59	$137.50	$211.69