Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $297.27 / $1,533.60	Professional		$62.40	$297.27	$1,533.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $144.46 / $820.00	Professional	26	$28.12	$144.46	$820.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.01 / $40.02 / $197.51	Professional	TC	$35.01	$40.02	$197.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $104.11	Professional		$51.00	$51.00	$104.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.00 / $51.00 / $63.05	Facility	26	$51.00	$51.00	$63.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $89.28 / $134.59	Professional		$73.30	$89.28	$134.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $35.04 / $61.88	Professional	26	$29.56	$35.04	$61.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.74 / $50.63 / $72.70	Professional	TC	$43.74	$50.63	$72.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.00 / $51.00 / $63.05	Facility	26	$51.00	$51.00	$63.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $87.54 / $123.87	Professional		$63.26	$87.54	$123.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $51.00 / $80.51	Professional	26	$29.56	$51.00	$80.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.74 / $50.63 / $83.83	Professional	TC	$43.74	$50.63	$83.83
United Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $87.58 / $119.16	Professional		$84.14	$87.58	$119.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $41.95 / $58.94	Professional	26	$40.10	$41.95	$58.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.86 / $47.48 / $60.22	Professional	TC	$42.86	$47.48	$60.22