Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.13 / $190.40 / $271.70	Professional		$171.13	$190.40	$271.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $20.83 / $53.87	Professional	26	$18.76	$20.83	$53.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.46 / $169.58 / $246.17	Professional	TC	$151.46	$169.58	$246.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $36.81 / $196.65	Professional		$36.81	$36.81	$196.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $43.75	Facility	26	$36.81	$36.81	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $196.65 / $278.26	Professional		$154.02	$196.65	$278.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $36.81 / $53.80	Professional	26	$21.33	$36.81	$53.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.17 / $159.84 / $225.91	Professional	TC	$126.17	$159.84	$225.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $43.75	Facility	26	$36.81	$36.81	$43.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $211.85 / $338.73	Professional		$132.13	$211.85	$338.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $36.81 / $42.44	Professional	26	$25.29	$36.81	$42.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $126.17 / $159.84 / $186.75	Professional	TC	$126.17	$159.84	$186.75
United Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $211.69 / $281.60	Professional		$178.66	$211.69	$281.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.07 / $40.32 / $46.80	Professional	26	$33.07	$40.32	$46.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.33 / $172.29 / $245.11	Professional	TC	$143.33	$172.29	$245.11