Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $155.96 / $857.00	Professional		$121.53	$155.96	$857.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.83 / $58.39 / $298.89	Professional	TC	$42.83	$58.39	$298.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $144.60 / $229.25	Professional		$144.60	$144.60	$229.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.60 / $144.60 / $178.75	Facility	26	$144.60	$144.60	$178.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $208.04 / $288.36	Professional		$172.16	$208.04	$288.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.58 / $84.65 / $106.36	Professional	TC	$66.58	$84.65	$106.36
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $144.60 / $144.60 / $178.75	Facility	26	$144.60	$144.60	$178.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $198.44 / $269.37	Professional		$140.08	$198.44	$269.37
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $77.18 / $84.65 / $103.54	Professional	TC	$77.18	$84.65	$103.54
United Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $140.41 / $405.16	Professional		$129.76	$140.41	$405.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $51.08 / $148.00	Professional	TC	$44.17	$51.08	$148.00