Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $175.75 / $175.75 / $280.00	Professional	26	$175.75	$175.75	$280.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $93.59 / $144.07	Professional		$93.59	$93.59	$144.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $144.07 / $177.51	Professional		$144.07	$144.07	$177.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.59 / $93.59 / $105.34	Professional	26	$93.59	$93.59	$105.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.48 / $50.48 / $72.17	Professional	TC	$50.48	$50.48	$72.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $132.49 / $177.51	Professional		$88.32	$132.49	$177.51
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $93.59 / $93.59 / $105.34	Professional	26	$93.59	$93.59	$105.34
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $50.48 / $50.48 / $72.17	Professional	TC	$50.48	$50.48	$72.17
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $61.01 / $101.23	Professional		$55.22	$61.01	$101.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $39.53 / $71.84	Professional	26	$39.19	$39.53	$71.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $21.48 / $29.38	Professional	TC	$16.03	$21.48	$29.38