Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $123.07 / $220.23	Professional		$116.76	$123.07	$220.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $16.12 / $68.00	Professional	26	$14.49	$16.12	$68.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.26 / $106.95 / $172.15	Professional	TC	$102.26	$106.95	$172.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $195.07	Professional		$36.28	$36.28	$195.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.28 / $36.28 / $43.13	Facility	26	$36.28	$36.28	$43.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $195.07 / $298.79	Professional		$127.98	$195.07	$298.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.50 / $36.28 / $53.26	Professional	26	$16.50	$36.28	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.76 / $158.79 / $267.80	Professional	TC	$104.76	$158.79	$267.80
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.28 / $36.28 / $43.13	Facility	26	$36.28	$36.28	$43.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $214.18 / $357.36	Professional		$131.09	$214.18	$357.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.06 / $36.28 / $41.32	Professional	26	$25.06	$36.28	$41.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $126.60 / $158.79 / $187.37	Professional	TC	$126.60	$158.79	$187.37
United Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $211.13 / $273.93	Professional		$177.86	$211.13	$273.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.59 / $39.20 / $45.50	Professional	26	$25.59	$39.20	$45.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.31 / $173.47 / $246.40	Professional	TC	$144.31	$173.47	$246.40