Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $166.89 / $278.75	Professional		$147.13	$166.89	$278.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.11 / $49.63 / $69.34	Professional	26	$45.11	$49.63	$69.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.59 / $117.26 / $209.40	Professional	TC	$106.59	$117.26	$209.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $66.78 / $215.05	Professional		$66.78	$66.78	$215.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.78 / $66.78 / $79.38	Facility	26	$66.78	$66.78	$79.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $215.05 / $300.33	Professional		$170.99	$215.05	$300.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.94 / $66.78 / $98.05	Professional	26	$50.94	$66.78	$98.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.08 / $148.28 / $201.64	Professional	TC	$116.08	$148.28	$201.64
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $66.78 / $66.78 / $79.38	Facility	26	$66.78	$66.78	$79.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $223.77 / $372.88	Professional		$145.46	$223.77	$372.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.18 / $66.78 / $76.87	Professional	26	$53.18	$66.78	$76.87
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $111.19 / $142.25 / $171.80	Professional	TC	$111.19	$142.25	$171.80
United Facility/Professional Professional Modifier Low / Median / High Price $195.04 / $231.42 / $272.64	Professional		$195.04	$231.42	$272.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.82 / $75.51 / $86.40	Professional	26	$62.82	$75.51	$86.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.38 / $157.19 / $186.24	Professional	TC	$127.38	$157.19	$186.24