Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $97.67 / $161.22	Professional		$97.67	$97.67	$161.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.91 / $174.60 / $1,047.59	Professional	26	$58.91	$174.60	$1,047.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $94.12 / $159.32	Professional		$94.12	$94.12	$159.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $159.32 / $168.20	Professional		$159.32	$159.32	$168.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.12 / $94.12 / $104.76	Professional	26	$94.12	$94.12	$104.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.44 / $63.44 / $65.20	Professional	TC	$63.44	$63.44	$65.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $145.10 / $168.20	Professional		$96.73	$145.10	$168.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $94.12 / $94.12 / $104.76	Professional	26	$94.12	$94.12	$104.76
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $63.44 / $63.44 / $65.20	Professional	TC	$63.44	$63.44	$65.20
United Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $60.20 / $110.36	Professional		$58.22	$60.20	$110.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $39.31 / $104.44	Professional	26	$39.19	$39.31	$104.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.91 / $21.01 / $60.22	Professional	TC	$18.91	$21.01	$60.22