Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.40 / $116.40 / $146.34	Facility	26	$116.40	$116.40	$146.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $147.29 / $570.48	Professional		$124.73	$147.29	$570.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $41.52 / $178.82	Professional	26	$32.72	$41.52	$178.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.90 / $72.00 / $726.00	Professional	52	$34.90	$72.00	$726.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.55 / $99.73 / $260.25	Professional	TC	$87.55	$99.73	$260.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $56.26 / $201.91	Professional		$56.26	$56.26	$201.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.26 / $56.26 / $69.55	Facility	26	$56.26	$56.26	$69.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $187.77 / $303.36	Professional		$139.29	$187.77	$303.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.86 / $49.21 / $90.19	Professional	26	$39.86	$49.21	$90.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.43 / $140.24 / $219.85	Professional	TC	$99.43	$140.24	$219.85
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $56.26 / $56.26 / $69.55	Facility	26	$56.26	$56.26	$69.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $206.51 / $322.63	Professional		$124.22	$206.51	$322.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.86 / $56.26 / $72.23	Professional	26	$39.86	$56.26	$72.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $99.43 / $145.65 / $191.93	Professional	TC	$99.43	$145.65	$191.93
United Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $156.16 / $356.14	Professional		$151.63	$156.16	$356.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.35 / $43.27 / $69.09	Professional	26	$41.35	$43.27	$69.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.97 / $113.56 / $256.23	Professional	TC	$109.97	$113.56	$256.23