Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $385.20 / $770.40	Professional		$229.50	$385.20	$770.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.49 / $312.00 / $624.00	Professional	26	$118.49	$312.00	$624.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,844.10 / $1,844.10 / $1,844.10	Professional	TC	$1,844.10	$1,844.10	$1,844.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $189.81	Professional		$63.10	$63.10	$189.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $189.81 / $221.16	Professional		$189.81	$189.81	$221.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $90.21	Professional	26	$63.10	$63.10	$90.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.72 / $126.72 / $130.94	Professional	TC	$126.72	$126.72	$130.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $171.80 / $221.16	Professional		$116.75	$171.80	$221.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $90.21	Professional	26	$63.10	$63.10	$90.21
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $126.72 / $126.72 / $130.94	Professional	TC	$126.72	$126.72	$130.94
United Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $76.44 / $140.13	Professional		$73.04	$76.44	$140.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $33.94 / $48.43	Professional	26	$26.42	$33.94	$48.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.10 / $50.02 / $91.71	Professional	TC	$39.10	$50.02	$91.71