Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $115.98 / $134.22	Professional		$34.36	$115.98	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $33.46 / $36.81	Professional	26	$19.17	$33.46	$36.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.66 / $88.56 / $97.42	Professional	TC	$15.66	$88.56	$97.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $33.13 / $61.52	Professional		$33.13	$33.13	$61.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.13 / $33.13 / $39.38	Facility	26	$33.13	$33.13	$39.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $86.31 / $148.90	Professional		$52.20	$86.31	$148.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.38 / $36.67 / $52.14	Professional	26	$29.38	$36.67	$52.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.42 / $42.66 / $112.62	Professional	TC	$21.42	$42.66	$112.62
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $33.13 / $33.13 / $39.38	Facility	26	$33.13	$33.13	$39.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $62.86 / $95.82	Professional		$37.34	$62.86	$95.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.21 / $36.35 / $47.22	Professional	26	$23.21	$36.35	$47.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.02 / $26.97 / $44.79	Professional	TC	$21.02	$26.97	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $64.90 / $183.00	Professional		$56.10	$64.90	$183.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.14 / $36.56 / $57.01	Professional	26	$32.14	$36.56	$57.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $27.25 / $125.99	Professional	TC	$23.85	$27.25	$125.99