Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $142.68 / $145.94	Professional		$117.45	$142.68	$145.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.58 / $100.29 / $108.98	Professional	26	$82.58	$100.29	$108.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.19 / $42.66 / $45.65	Professional	TC	$28.19	$42.66	$45.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $119.36 / $168.26	Professional		$119.36	$119.36	$168.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.36 / $119.36 / $119.36	Facility	26	$119.36	$119.36	$119.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $143.02 / $170.00	Professional		$124.64	$143.02	$170.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.31 / $107.42 / $120.60	Professional	26	$90.31	$107.42	$120.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.89 / $38.61 / $48.90	Professional	TC	$30.89	$38.61	$48.90
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $119.36 / $119.36 / $119.36	Facility	26	$119.36	$119.36	$119.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $149.86 / $202.50	Professional		$105.78	$149.86	$202.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $101.46 / $107.42 / $119.36	Professional	26	$101.46	$107.42	$119.36
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $30.89 / $41.57 / $48.90	Professional	TC	$30.89	$41.57	$48.90
United Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $170.24 / $192.67	Professional		$142.88	$170.24	$192.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.22 / $131.08 / $143.22	Professional	26	$106.22	$131.08	$143.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $43.68 / $52.26	Professional	TC	$27.86	$43.68	$52.26