Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $56.89 / $231.60	Professional		$52.52	$56.89	$231.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $38.71 / $63.25	Professional	26	$36.49	$38.71	$63.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $18.17 / $168.34	Professional	TC	$16.03	$18.17	$168.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $216.10	Professional		$61.52	$61.52	$216.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.52 / $61.52 / $76.05	Facility	26	$61.52	$61.52	$76.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $98.21 / $216.10	Professional		$81.79	$98.21	$216.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $47.75 / $83.88	Professional	26	$39.79	$47.75	$83.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.13 / $42.00 / $154.59	Professional	TC	$15.13	$42.00	$154.59
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $61.52 / $61.52 / $76.05	Facility	26	$61.52	$61.52	$76.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $164.14 / $253.38	Professional		$98.21	$164.14	$253.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $61.52 / $97.11	Professional	26	$39.79	$61.52	$97.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.13 / $42.00 / $244.02	Professional	TC	$15.13	$42.00	$244.02
United Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $153.84 / $216.13	Professional		$67.14	$153.84	$216.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.98 / $55.05 / $71.62	Professional	26	$50.98	$55.05	$71.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.09 / $102.86 / $144.51	Professional	TC	$12.09	$102.86	$144.51