Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $139.52 / $411.00	Professional		$84.00	$139.52	$411.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.00 / $62.91 / $210.70	Professional	26	$43.00	$62.91	$210.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $193.50 / $193.50 / $193.50	Professional	50	$193.50	$193.50	$193.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $50.94 / $85.15	Professional	TC	$40.17	$50.94	$85.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $69.41 / $151.43	Professional		$69.41	$69.41	$151.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.41 / $69.41 / $82.50	Facility	26	$69.41	$69.41	$82.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.68 / $136.29 / $407.16	Professional		$96.68	$136.29	$407.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.12 / $62.47 / $189.91	Professional	26	$45.12	$62.47	$189.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.18 / $73.81 / $217.25	Professional	TC	$43.18	$73.81	$217.25
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $69.41 / $69.41 / $82.50	Facility	26	$69.41	$69.41	$82.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $149.57 / $232.74	Professional		$96.40	$149.57	$232.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $62.47 / $77.38	Professional	26	$38.72	$62.47	$77.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $37.44 / $73.81 / $82.02	Professional	TC	$37.44	$73.81	$82.02
United Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $156.76 / $187.01	Professional		$129.25	$156.76	$187.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.88 / $76.56 / $90.34	Professional	26	$62.88	$76.56	$90.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.71 / $79.20 / $97.92	Professional	TC	$63.71	$79.20	$97.92