Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $71.34 / $128.88	Professional		$65.54	$71.34	$128.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $46.47 / $75.28	Professional	26	$42.25	$46.47	$75.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $24.33 / $65.80	Professional	TC	$23.28	$24.33	$65.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $124.61	Professional		$63.10	$63.10	$124.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $75.00	Facility	26	$63.10	$63.10	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $104.18 / $178.03	Professional		$66.95	$104.18	$178.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $60.29 / $96.59	Professional	26	$44.17	$60.29	$96.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $43.42 / $81.44	Professional	TC	$21.83	$43.42	$81.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $75.00	Facility	26	$63.10	$63.10	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $118.90 / $197.57	Professional		$75.53	$118.90	$197.57
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $56.79 / $89.36	Professional	26	$37.79	$56.79	$89.36
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $33.76 / $61.52	Professional	TC	$17.91	$33.76	$61.52
United Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $116.81 / $140.41	Professional		$93.80	$116.81	$140.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.23 / $71.98 / $84.18	Professional	26	$62.23	$71.98	$84.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.63 / $48.16 / $59.35	Professional	TC	$33.63	$48.16	$59.35