Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $102.28 / $360.23	Professional		$83.26	$102.28	$360.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $12.36 / $52.54	Professional	26	$11.05	$12.36	$52.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.20 / $89.92 / $307.68	Professional	TC	$72.20	$89.92	$307.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $163.00	Professional		$18.39	$18.39	$163.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $22.75	Facility	26	$18.39	$18.39	$22.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $164.36 / $264.52	Professional		$117.78	$164.36	$264.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.22 / $28.83	Professional	26	$11.75	$18.22	$28.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.60 / $144.60 / $234.26	Professional	TC	$110.60	$144.60	$234.26
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $22.75	Facility	26	$18.39	$18.39	$22.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $173.08 / $268.62	Professional		$104.98	$173.08	$268.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.39 / $24.05	Professional	26	$11.75	$18.39	$24.05
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $132.11 / $151.56 / $217.25	Professional	TC	$132.11	$151.56	$217.25
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $137.54 / $291.36	Professional		$98.78	$137.54	$291.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $10.97 / $22.18	Professional	26	$10.65	$10.97	$22.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.73 / $119.41 / $181.91	Professional	TC	$86.73	$119.41	$181.91