Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.10 / $422.10 / $885.60	Professional		$422.10	$422.10	$885.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.33 / $201.60 / $634.50	Professional	26	$65.33	$201.60	$634.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.00 / $146.00 / $146.00	Professional	TC	$146.00	$146.00	$146.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $106.21 / $263.95	Professional		$106.21	$106.21	$263.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $246.77 / $263.95	Professional		$246.77	$246.77	$263.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.21 / $106.21 / $117.56	Professional	26	$106.21	$106.21	$117.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.19 / $129.19 / $157.74	Professional	TC	$129.19	$129.19	$157.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $223.72 / $263.95	Professional		$161.51	$223.72	$263.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $106.21 / $106.21 / $117.56	Professional	26	$106.21	$106.21	$117.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $129.19 / $129.19 / $157.74	Professional	TC	$129.19	$129.19	$157.74
United Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $94.41 / $173.09	Professional		$93.23	$94.41	$173.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $44.47 / $81.38	Professional	26	$44.39	$44.47	$81.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.76 / $50.02 / $91.71	Professional	TC	$48.76	$50.02	$91.71