Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $504.00 / $504.00 / $504.00	Professional	26	$504.00	$504.00	$504.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.77 / $453.77 / $453.77	Professional		$453.77	$453.77	$453.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.90 / $332.90 / $453.77	Professional		$332.90	$332.90	$453.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.15 / $64.15 / $73.33	Professional	26	$64.15	$64.15	$73.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.57 / $259.57 / $389.62	Professional	TC	$259.57	$259.57	$389.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $439.51 / $517.09	Professional		$310.24	$439.51	$517.09
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.15 / $64.15 / $73.33	Professional	26	$64.15	$64.15	$73.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $259.57 / $259.57 / $389.62	Professional	TC	$259.57	$259.57	$389.62
United Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $208.96 / $524.50	Professional		$207.52	$208.96	$524.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $27.72 / $50.81	Professional	26	$27.71	$27.72	$50.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.81 / $181.24 / $332.28	Professional	TC	$179.81	$181.24	$332.28