Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $191.70 / $191.70	Professional		$191.70	$191.70	$191.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $41.95 / $125.85	Professional	26	$12.10	$41.95	$125.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $130.91	Professional		$18.39	$18.39	$130.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $110.58 / $130.91	Professional		$110.58	$110.58	$130.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $18.39 / $20.37	Professional	26	$18.39	$18.39	$20.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.21 / $90.21 / $112.52	Professional	TC	$90.21	$90.21	$112.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $110.58 / $130.91	Professional		$81.39	$110.58	$130.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $18.39 / $20.37	Professional	26	$18.39	$18.39	$20.37
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $90.21 / $90.21 / $112.52	Professional	TC	$90.21	$90.21	$112.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $46.34 / $141.56	Professional		$41.46	$46.34	$141.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $7.58 / $13.89	Professional	26	$7.52	$7.58	$13.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.94 / $38.76 / $71.06	Professional	TC	$33.94	$38.76	$71.06