Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $250.82 / $1,385.01	Professional		$221.90	$250.82	$1,385.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $25.90 / $134.25	Professional	26	$20.60	$25.90	$134.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.28 / $214.15 / $403.92	Professional	TC	$201.28	$214.15	$403.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $35.75 / $343.35	Professional		$35.75	$35.75	$343.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.75 / $35.75 / $44.20	Facility	26	$35.75	$35.75	$44.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.44 / $343.35 / $669.30	Professional		$262.44	$343.35	$669.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.69 / $35.75 / $68.00	Professional	26	$26.69	$35.75	$68.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $235.56 / $307.58 / $601.29	Professional	TC	$235.56	$307.58	$601.29
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $35.75 / $35.75 / $44.20	Facility	26	$35.75	$35.75	$44.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.36 / $309.35 / $418.78	Professional		$218.36	$309.35	$418.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.89 / $35.75 / $48.18	Professional	26	$26.89	$35.75	$48.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $235.56 / $307.58 / $440.81	Professional	TC	$235.56	$307.58	$440.81
United Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $223.47 / $434.78	Professional		$210.43	$223.47	$434.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.17 / $21.94 / $63.82	Professional	26	$21.17	$21.94	$63.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.26 / $201.53 / $391.05	Professional	TC	$189.26	$201.53	$391.05