Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $71.76 / $240.71	Professional		$58.52	$71.76	$240.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $23.39 / $74.86	Professional	26	$17.98	$23.39	$74.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.64 / $47.72 / $86.10	Professional	TC	$45.64	$47.72	$86.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $27.34 / $79.92	Professional		$27.34	$27.34	$79.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $27.34 / $32.50	Facility	26	$27.34	$27.34	$32.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $89.63 / $114.36	Professional		$67.93	$89.63	$114.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $27.34 / $39.86	Professional	26	$20.79	$27.34	$39.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.69 / $59.36 / $79.00	Professional	TC	$44.69	$59.36	$79.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $27.34 / $32.50	Facility	26	$27.34	$27.34	$32.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $89.63 / $137.47	Professional		$53.63	$89.63	$137.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.61 / $27.34 / $31.25	Professional	26	$21.61	$27.34	$31.25
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $44.69 / $52.58 / $63.91	Professional	TC	$44.69	$52.58	$63.91
United Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $88.74 / $119.03	Professional		$77.02	$88.74	$119.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $30.69 / $48.10	Professional	26	$26.26	$30.69	$48.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.59 / $58.41 / $83.19	Professional	TC	$48.59	$58.41	$83.19