Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $172.80 / $181.80	Professional		$172.80	$172.80	$181.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $64.80 / $68.40	Professional	26	$21.39	$64.80	$68.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $108.31	Professional		$34.18	$34.18	$108.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $108.31 / $137.93	Professional		$108.31	$108.31	$137.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.18 / $34.18 / $38.40	Professional	26	$34.18	$34.18	$38.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.14 / $74.14 / $99.52	Professional	TC	$74.14	$74.14	$99.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $91.72 / $137.93	Professional		$66.23	$91.72	$137.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $34.18 / $34.18 / $38.40	Professional	26	$34.18	$34.18	$38.40
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.14 / $74.14 / $99.52	Professional	TC	$74.14	$74.14	$99.52
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $43.82 / $69.48	Professional		$37.90	$43.82	$69.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $14.18 / $25.81	Professional	26	$14.08	$14.18	$25.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $29.64 / $43.67	Professional	TC	$23.82	$29.64	$43.67