Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $60.67 / $104.67	Professional		$47.80	$60.67	$104.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.91 / $28.80 / $47.32	Professional	26	$24.91	$28.80	$47.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.71 / $34.00 / $62.65	Professional	TC	$24.71	$34.00	$62.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $99.38 / $99.38	Professional		$42.59	$99.38	$99.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.59 / $42.59 / $50.63	Facility	26	$42.59	$42.59	$50.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $86.22 / $216.05	Professional		$61.24	$86.22	$216.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.65 / $38.33 / $83.90	Professional	26	$27.65	$38.33	$83.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.95 / $48.27 / $116.47	Professional	TC	$32.95	$48.27	$116.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $42.59 / $42.59 / $50.63	Facility	26	$42.59	$42.59	$50.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $109.89 / $163.53	Professional		$63.79	$109.89	$163.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $37.85 / $48.07	Professional	26	$26.66	$37.85	$48.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $48.27 / $59.52	Professional	TC	$31.98	$48.27	$59.52
United Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $96.38 / $111.89	Professional		$80.58	$96.38	$111.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.07 / $46.98 / $54.27	Professional	26	$38.07	$46.98	$54.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.14 / $49.88 / $58.59	Professional	TC	$42.14	$49.88	$58.59