Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.40 / $113.40 / $113.40	Professional	26	$113.40	$113.40	$113.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $188.24	Professional		$66.25	$66.25	$188.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $188.24 / $275.87	Professional		$188.24	$188.24	$275.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.25 / $66.25 / $97.78	Professional	26	$66.25	$66.25	$97.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.99 / $121.99 / $178.09	Professional	TC	$121.99	$121.99	$178.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $171.31 / $260.41	Professional		$115.49	$171.31	$260.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.25 / $66.25 / $97.78	Professional	26	$66.25	$66.25	$97.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $121.99 / $121.99 / $178.09	Professional	TC	$121.99	$121.99	$178.09
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $89.80 / $142.12	Professional		$77.52	$89.80	$142.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $36.53 / $51.22	Professional	26	$27.94	$36.53	$51.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $53.27 / $130.53	Professional	TC	$49.58	$53.27	$130.53