Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $101.60 / $354.60	Professional		$93.18	$101.60	$354.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.90 / $62.96 / $109.61	Professional	26	$61.90	$62.96	$109.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $31.87 / $77.38	Professional	TC	$30.51	$31.87	$77.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $93.07 / $165.10	Professional		$93.07	$93.07	$165.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.07 / $93.07 / $110.63	Facility	26	$93.07	$93.07	$110.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $141.27 / $236.45	Professional		$95.36	$141.27	$236.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.62 / $89.19 / $141.54	Professional	26	$64.62	$89.19	$141.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.38 / $50.49 / $94.91	Professional	TC	$27.38	$50.49	$94.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.07 / $93.07 / $110.63	Facility	26	$93.07	$93.07	$110.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $155.78 / $261.41	Professional		$103.84	$155.78	$261.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.90 / $83.76 / $130.68	Professional	26	$55.90	$83.76	$130.68
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $44.23 / $72.03	Professional	TC	$23.38	$44.23	$72.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $162.97 / $185.46	Professional		$134.62	$162.97	$185.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $106.20 / $124.20	Professional	26	$91.80	$106.20	$124.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.32 / $57.57 / $128.57	Professional	TC	$43.32	$57.57	$128.57