Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $60.27 / $337.00	Professional		$55.57	$60.27	$337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $40.32 / $231.00	Professional	26	$37.99	$40.32	$231.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $19.94 / $33.35	Professional	TC	$17.57	$19.94	$33.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $72.03 / $102.53	Professional		$72.03	$72.03	$102.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.03 / $72.03 / $89.05	Facility	26	$72.03	$72.03	$89.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $75.70 / $125.06	Professional		$60.15	$75.70	$125.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.31 / $49.42 / $86.62	Professional	26	$41.31	$49.42	$86.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $24.45 / $38.44	Professional	TC	$18.84	$24.45	$38.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $72.03 / $72.03 / $89.05	Facility	26	$72.03	$72.03	$89.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $86.62 / $121.36	Professional		$61.14	$86.62	$121.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.31 / $72.03 / $113.71	Professional	26	$41.31	$72.03	$113.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $30.50 / $48.14	Professional	TC	$18.84	$30.50	$48.14
United Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $83.00 / $116.61	Professional		$79.73	$83.00	$116.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $59.10 / $83.03	Professional	26	$56.23	$59.10	$83.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $23.90 / $33.58	Professional	TC	$23.51	$23.90	$33.58