Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $87.08 / $91.69	Professional		$79.98	$87.08	$91.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $48.07 / $49.66	Professional	26	$27.23	$48.07	$49.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $34.90 / $38.32	Professional	TC	$18.98	$34.90	$38.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $100.43	Professional		$57.31	$57.31	$100.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.31 / $57.31 / $57.31	Facility	26	$57.31	$57.31	$57.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $90.39 / $101.47	Professional		$70.73	$90.39	$101.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.65 / $51.58 / $57.91	Professional	26	$42.65	$51.58	$57.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $37.10 / $43.56	Professional	TC	$28.08	$37.10	$43.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $57.31 / $57.31 / $57.31	Facility	26	$57.31	$57.31	$57.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $89.30 / $117.50	Professional		$59.52	$89.30	$117.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.98 / $51.58 / $57.51	Professional	26	$47.98	$51.58	$57.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $37.10 / $43.12	Professional	TC	$31.59	$37.10	$43.12
United Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $100.24 / $113.45	Professional		$82.34	$100.24	$113.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.23 / $61.00 / $67.81	Professional	26	$49.23	$61.00	$67.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.39 / $40.31 / $45.63	Professional	TC	$32.39	$40.31	$45.63