Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $104.79 / $174.09	Professional		$95.26	$104.79	$174.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.12 / $32.61 / $42.92	Professional	26	$29.12	$32.61	$42.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $72.58 / $142.12	Professional	TC	$65.98	$72.58	$142.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $38.38 / $251.86	Professional		$38.38	$38.38	$251.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.38 / $38.38 / $45.63	Facility	26	$38.38	$38.38	$45.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $245.60 / $399.48	Professional		$164.81	$245.60	$399.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $38.38 / $62.41	Professional	26	$31.50	$38.38	$62.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.22 / $203.70 / $337.07	Professional	TC	$138.22	$203.70	$337.07
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $38.38 / $38.38 / $45.63	Facility	26	$38.38	$38.38	$45.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $259.89 / $477.02	Professional		$168.94	$259.89	$477.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $38.38 / $44.00	Professional	26	$31.50	$38.38	$44.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $154.78 / $203.70 / $229.12	Professional	TC	$154.78	$203.70	$229.12
United Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $270.81 / $348.80	Professional		$220.32	$270.81	$348.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.82 / $44.26 / $55.44	Professional	26	$36.82	$44.26	$55.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.22 / $226.55 / $293.12	Professional	TC	$184.22	$226.55	$293.12