Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $187.20 / $196.20	Professional		$105.30	$187.20	$196.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.87 / $56.70 / $82.80	Professional	26	$25.87	$56.70	$82.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $42.06 / $107.26	Professional		$42.06	$42.06	$107.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $105.34 / $107.26	Professional		$105.34	$105.34	$107.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $42.06 / $46.56	Professional	26	$42.06	$42.06	$46.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.78 / $58.78 / $65.20	Professional	TC	$58.78	$58.78	$65.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $94.63 / $107.26	Professional		$65.66	$94.63	$107.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $42.06 / $46.56	Professional	26	$42.06	$42.06	$46.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $58.78 / $58.78 / $65.20	Professional	TC	$58.78	$58.78	$65.20
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $43.39 / $115.47	Professional		$41.14	$43.39	$115.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $17.39 / $34.72	Professional	26	$17.32	$17.39	$34.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $25.99 / $43.67	Professional	TC	$23.82	$25.99	$43.67