Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $498.60 / $3,739.50	Professional		$93.47	$498.60	$3,739.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $80.62 / $405.00	Professional	26	$26.66	$80.62	$405.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $143.02 / $143.02	Professional		$143.02	$143.02	$143.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $143.02	Professional		$110.00	$110.00	$143.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.50 / $35.50 / $42.59	Professional	26	$35.50	$35.50	$42.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.50 / $74.50 / $100.43	Professional	TC	$74.50	$74.50	$100.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $118.70 / $143.02	Professional		$88.25	$118.70	$143.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.50 / $35.50 / $42.59	Professional	26	$35.50	$35.50	$42.59
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.50 / $74.50 / $100.43	Professional	TC	$74.50	$74.50	$100.43
United Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $56.51 / $103.61	Professional		$54.14	$56.51	$103.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.76 / $17.75 / $32.54	Professional	26	$16.76	$17.75	$32.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.38 / $38.76 / $71.06	Professional	TC	$37.38	$38.76	$71.06