Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $88.20 / $259.20	Professional		$88.20	$88.20	$259.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $35.24 / $35.24	Professional	26	$35.24	$35.24	$35.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $54.68 / $236.61	Professional		$54.68	$54.68	$236.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $236.61	Professional		$179.84	$179.84	$236.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.68 / $54.68 / $71.00	Professional	26	$54.68	$54.68	$71.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.83 / $108.83 / $181.93	Professional	TC	$108.83	$108.83	$181.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $206.24 / $242.64	Professional		$146.33	$206.24	$242.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $54.68 / $54.68 / $71.00	Professional	26	$54.68	$54.68	$71.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $108.83 / $108.83 / $181.93	Professional	TC	$108.83	$108.83	$181.93
United Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $77.09 / $262.83	Professional		$56.29	$77.09	$262.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $22.99 / $41.28	Professional	26	$22.52	$22.99	$41.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.29 / $54.57 / $156.43	Professional	TC	$33.29	$54.57	$156.43