Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $151.59 / $254.57	Professional		$130.08	$151.59	$254.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.87 / $82.20 / $124.46	Professional	26	$73.87	$82.20	$124.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $77.47 / $130.10	Professional	TC	$55.03	$77.47	$130.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $125.14 / $251.33	Professional		$125.14	$125.14	$251.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.14 / $125.14 / $148.75	Facility	26	$125.14	$125.14	$148.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $226.20 / $669.01	Professional		$115.97	$226.20	$669.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.52 / $112.63 / $338.10	Professional	26	$80.52	$112.63	$338.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.02 / $113.57 / $330.91	Professional	TC	$34.02	$113.57	$330.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $125.14 / $125.14 / $148.75	Facility	26	$125.14	$125.14	$148.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $251.33 / $382.69	Professional		$158.52	$251.33	$382.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $112.63 / $138.34	Professional	26	$64.34	$112.63	$138.34
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.02 / $113.57 / $152.41	Professional	TC	$34.02	$113.57	$152.41
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $272.73 / $351.52	Professional		$193.14	$272.73	$351.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.92 / $136.88 / $219.22	Professional	26	$110.92	$136.88	$219.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.28 / $140.57 / $170.69	Professional	TC	$70.28	$140.57	$170.69