Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $82.57 / $142.41	Professional		$76.78	$82.57	$142.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $42.18 / $67.93	Professional	26	$40.51	$42.18	$67.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $41.09 / $74.48	Professional	TC	$37.35	$41.09	$74.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $68.34 / $138.29	Professional		$68.34	$68.34	$138.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.34 / $68.34 / $81.25	Facility	26	$68.34	$68.34	$81.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $124.46 / $374.07	Professional		$66.26	$124.46	$374.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $61.52 / $185.60	Professional	26	$44.39	$61.52	$185.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $62.94 / $188.47	Professional	TC	$17.07	$62.94	$188.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $68.34 / $68.34 / $81.25	Facility	26	$68.34	$68.34	$81.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $138.29 / $206.84	Professional		$83.98	$138.29	$206.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $61.52 / $75.62	Professional	26	$36.46	$61.52	$75.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $62.94 / $69.93	Professional	TC	$17.85	$62.94	$69.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $136.08 / $175.40	Professional		$104.55	$136.08	$175.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $73.79 / $105.79	Professional	26	$61.93	$73.79	$105.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.83 / $63.83 / $77.51	Professional	TC	$41.83	$63.83	$77.51