Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.60 / $993.60 / $993.60	Professional		$993.60	$993.60	$993.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.83 / $112.83 / $234.00	Professional	26	$112.83	$112.83	$234.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $272.89 / $272.89	Professional		$272.89	$272.89	$272.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.31 / $190.31 / $272.89	Professional		$190.31	$190.31	$272.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.36 / $58.36 / $65.18	Professional	26	$58.36	$58.36	$65.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.13 / $125.13 / $214.53	Professional	TC	$125.13	$125.13	$214.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $229.15 / $272.89	Professional		$169.17	$229.15	$272.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.36 / $58.36 / $65.18	Professional	26	$58.36	$58.36	$65.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $125.13 / $125.13 / $214.53	Professional	TC	$125.13	$125.13	$214.53
United Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $105.24 / $192.94	Professional		$104.41	$105.24	$192.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $24.50 / $44.07	Professional	26	$24.04	$24.50	$44.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.91 / $81.20 / $148.87	Professional	TC	$79.91	$81.20	$148.87