Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $105.29 / $264.64	Professional		$95.59	$105.29	$264.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $43.76 / $218.00	Professional	26	$40.96	$43.76	$218.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.64 / $61.86 / $77.95	Professional	TC	$46.64	$61.86	$77.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $148.80	Professional		$78.34	$78.34	$148.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $96.85	Facility	26	$78.34	$78.34	$96.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $150.16 / $202.53	Professional		$121.53	$150.16	$202.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.46 / $53.66 / $94.84	Professional	26	$45.46	$53.66	$94.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.02 / $88.46 / $138.75	Professional	TC	$57.02	$88.46	$138.75
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $96.85	Facility	26	$78.34	$78.34	$96.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $126.35 / $176.06	Professional		$90.33	$126.35	$176.06
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $45.46 / $78.34 / $123.67	Professional	26	$45.46	$78.34	$123.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $70.42 / $70.45 / $127.44	Professional	TC	$70.42	$70.45	$127.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $138.86 / $169.86	Professional		$117.26	$138.86	$169.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.30 / $65.41 / $91.90	Professional	26	$61.30	$65.41	$91.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.05 / $71.34 / $112.61	Professional	TC	$55.05	$71.34	$112.61