Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $179.96 / $990.00	Professional		$162.22	$179.96	$990.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $60.07 / $297.00	Professional	26	$51.54	$60.07	$297.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $125.34 / $208.15	Professional	TC	$110.68	$125.34	$208.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $276.05	Professional		$86.76	$86.76	$276.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.76 / $86.76 / $107.25	Facility	26	$86.76	$86.76	$107.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $276.05 / $534.66	Professional		$213.66	$276.05	$534.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.54 / $86.76 / $164.98	Professional	26	$58.54	$86.76	$164.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.72 / $189.29 / $369.69	Professional	TC	$154.72	$189.29	$369.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $86.76 / $86.76 / $107.25	Facility	26	$86.76	$86.76	$107.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $237.40 / $326.98	Professional		$168.98	$237.40	$326.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $86.76 / $114.10	Professional	26	$58.94	$86.76	$114.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $154.72 / $189.29 / $239.35	Professional	TC	$154.72	$189.29	$239.35
United Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $155.22 / $320.70	Professional		$153.99	$155.22	$320.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $52.66 / $105.85	Professional	26	$51.13	$52.66	$105.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.23 / $103.99 / $214.85	Professional	TC	$101.23	$103.99	$214.85