Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $118.70 / $217.98	Professional		$79.20	$118.70	$217.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $12.84 / $50.00	Professional	26	$11.30	$12.84	$50.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.14 / $79.03 / $229.70	Professional	52	$46.14	$79.03	$229.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.21 / $108.84 / $180.24	Professional	TC	$97.21	$108.84	$180.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $129.87	Professional		$18.39	$18.39	$129.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $21.88	Facility	26	$18.39	$18.39	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.28 / $129.87 / $183.72	Professional		$105.28	$129.87	$183.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $18.39 / $27.33	Professional	26	$12.64	$18.39	$27.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.41 / $111.47 / $156.38	Professional	TC	$90.41	$111.47	$156.38
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $21.88	Facility	26	$18.39	$18.39	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $147.25 / $220.13	Professional		$85.87	$147.25	$220.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $18.39 / $21.30	Professional	26	$12.68	$18.39	$21.30
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $90.41 / $111.47 / $133.79	Professional	TC	$90.41	$111.47	$133.79
United Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $141.61 / $196.42	Professional		$122.41	$141.61	$196.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $20.52 / $23.76	Professional	26	$17.28	$20.52	$23.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.87 / $120.37 / $184.31	Professional	TC	$102.87	$120.37	$184.31