Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $284.39 / $585.90	Professional		$270.89	$284.39	$585.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $77.40 / $179.10	Professional	26	$24.90	$77.40	$179.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.00 / $127.00 / $213.65	Professional	TC	$127.00	$127.00	$213.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $40.49 / $177.72	Professional		$40.49	$40.49	$177.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $158.88 / $177.72	Professional		$158.88	$158.88	$177.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.49 / $40.49 / $45.40	Professional	26	$40.49	$40.49	$45.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.49 / $113.49 / $137.22	Professional	TC	$113.49	$113.49	$137.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $158.88 / $178.48	Professional		$109.99	$158.88	$178.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.49 / $40.49 / $45.40	Professional	26	$40.49	$40.49	$45.40
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $113.49 / $113.49 / $137.22	Professional	TC	$113.49	$113.49	$137.22
United Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $64.31 / $184.37	Professional		$59.29	$64.31	$184.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $16.97 / $30.57	Professional	26	$16.67	$16.97	$30.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.32 / $47.64 / $87.34	Professional	TC	$42.32	$47.64	$87.34