Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $588.60 / $1,238.40	Professional		$309.60	$588.60	$1,238.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.24 / $80.00 / $214.20	Professional	26	$33.24	$80.00	$214.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $53.11 / $167.20	Professional		$53.11	$53.11	$167.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $147.25 / $167.20	Professional		$147.25	$147.25	$167.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.11 / $53.11 / $59.36	Professional	26	$53.11	$53.11	$59.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.88 / $87.88 / $114.10	Professional	TC	$87.88	$87.88	$114.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $143.65 / $167.20	Professional		$102.95	$143.65	$167.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.11 / $53.11 / $59.36	Professional	26	$53.11	$53.11	$59.36
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $87.88 / $87.88 / $114.10	Professional	TC	$87.88	$87.88	$114.10
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $64.45 / $172.89	Professional		$64.31	$64.45	$172.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $22.35 / $40.49	Professional	26	$22.09	$22.35	$40.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.10 / $42.22 / $77.42	Professional	TC	$42.10	$42.22	$77.42