Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.30 / $395.10 / $442.80	Professional	26	$142.30	$395.10	$442.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $219.78 / $682.49	Professional		$219.78	$219.78	$682.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.49 / $682.49 / $756.02	Professional		$682.49	$682.49	$756.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $219.78 / $219.78 / $246.77	Professional	26	$219.78	$219.78	$246.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $462.70 / $462.70 / $509.25	Professional	TC	$462.70	$462.70	$509.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.25 / $619.24 / $756.02	Professional		$420.25	$619.24	$756.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $219.78 / $219.78 / $246.77	Professional	26	$219.78	$219.78	$246.77
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $462.70 / $462.70 / $509.25	Professional	TC	$462.70	$462.70	$509.25
United Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $284.43 / $470.43	Professional		$256.60	$284.43	$470.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.60 / $92.80 / $167.93	Professional	26	$91.60	$92.80	$167.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.51 / $191.63 / $302.50	Professional	TC	$109.51	$191.63	$302.50