Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $93.98 / $215.73	Professional		$86.29	$93.98	$215.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $29.28 / $59.66	Professional	26	$23.42	$29.28	$59.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $69.06 / $127.17	Professional	TC	$62.86	$69.06	$127.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.32 / $210.32 / $210.32	Professional		$210.32	$210.32	$210.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.53 / $51.53 / $61.25	Facility	26	$51.53	$51.53	$61.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $158.30 / $210.32	Professional		$46.31	$158.30	$210.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $44.23 / $51.53	Professional	26	$12.95	$44.23	$51.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.36 / $114.07 / $158.79	Professional	TC	$33.36	$114.07	$158.79
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.53 / $51.53 / $61.25	Facility	26	$51.53	$51.53	$61.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $177.65 / $255.92	Professional		$130.04	$177.65	$255.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $44.23 / $51.53	Professional	26	$12.95	$44.23	$51.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.36 / $114.07 / $158.79	Professional	TC	$33.36	$114.07	$158.79
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $84.23 / $140.38	Professional		$81.20	$84.23	$140.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $21.65 / $36.09	Professional	26	$16.80	$21.65	$36.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.15 / $62.58 / $114.73	Professional	TC	$60.15	$62.58	$114.73