Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $191.59 / $279.91	Professional		$157.03	$191.59	$279.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.35 / $66.15 / $91.76	Professional	26	$59.35	$66.15	$91.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.56 / $125.43 / $190.84	Professional	TC	$100.56	$125.43	$190.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $92.54 / $184.56	Professional		$92.54	$92.54	$184.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.54 / $92.54 / $110.00	Facility	26	$92.54	$92.54	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $191.67 / $271.30	Professional		$156.88	$191.67	$271.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.35 / $92.54 / $134.69	Professional	26	$62.35	$92.54	$134.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.26 / $96.61 / $146.19	Professional	TC	$77.26	$96.61	$146.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $92.54 / $92.54 / $110.00	Facility	26	$92.54	$92.54	$110.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $196.72 / $308.19	Professional		$120.22	$196.72	$308.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.27 / $92.54 / $105.60	Professional	26	$63.27	$92.54	$105.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $77.26 / $92.02 / $138.25	Professional	TC	$77.26	$92.02	$138.25
United Facility/Professional Professional Modifier Low / Median / High Price $176.46 / $204.14 / $286.69	Professional		$176.46	$204.14	$286.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.90 / $101.51 / $113.92	Professional	26	$85.90	$101.51	$113.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.92 / $100.88 / $177.65	Professional	TC	$83.92	$100.88	$177.65