Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $103.01 / $295.68	Professional		$82.24	$103.01	$295.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $25.60 / $57.57	Professional	26	$23.17	$25.60	$57.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.76 / $78.43 / $89.09	Professional	TC	$59.76	$78.43	$89.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $41.01 / $157.21	Professional		$41.01	$41.01	$157.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.01 / $41.01 / $50.70	Facility	26	$41.01	$41.01	$50.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $142.01 / $214.43	Professional		$90.96	$142.01	$214.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.44 / $39.94 / $65.16	Professional	26	$26.44	$39.94	$65.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.13 / $97.19 / $148.21	Professional	TC	$65.13	$97.19	$148.21
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $41.01 / $41.01 / $50.70	Facility	26	$41.01	$41.01	$50.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $157.21 / $251.40	Professional		$96.70	$157.21	$251.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $41.01 / $52.97	Professional	26	$26.12	$41.01	$52.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $59.97 / $99.65 / $165.21	Professional	TC	$59.97	$99.65	$165.21
United Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $98.45 / $169.86	Professional		$96.27	$98.45	$169.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $28.51 / $50.56	Professional	26	$27.57	$28.51	$50.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.20 / $70.80 / $119.79	Professional	TC	$68.20	$70.80	$119.79