Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $152.01 / $344.16	Professional		$128.52	$152.01	$344.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $84.48 / $186.18	Professional	26	$72.04	$84.48	$186.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $61.75 / $95.34	Professional	TC	$53.70	$61.75	$95.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $121.99 / $211.37	Professional		$121.99	$121.99	$211.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.99 / $121.99 / $145.00	Facility	26	$121.99	$121.99	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $190.23 / $574.05	Professional		$137.38	$190.23	$574.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.29 / $109.79 / $332.35	Professional	26	$79.29	$109.79	$332.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.10 / $80.45 / $241.71	Professional	TC	$58.10	$80.45	$241.71
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $121.99 / $121.99 / $145.00	Facility	26	$121.99	$121.99	$145.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $211.37 / $317.87	Professional		$137.38	$211.37	$317.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $109.79 / $134.83	Professional	26	$63.51	$109.79	$134.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $52.96 / $80.45 / $116.65	Professional	TC	$52.96	$80.45	$116.65
United Facility/Professional Professional Modifier Low / Median / High Price $197.76 / $243.08 / $369.07	Professional		$197.76	$243.08	$369.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.10 / $133.38 / $156.41	Professional	26	$108.10	$133.38	$156.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.36 / $106.14 / $123.75	Professional	TC	$87.36	$106.14	$123.75