Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $98.85 / $145.56	Professional		$93.11	$98.85	$145.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $53.95 / $83.50	Professional	TC	$50.59	$53.95	$83.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $70.98 / $149.33	Professional		$70.98	$70.98	$149.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $70.98 / $84.38	Facility	26	$70.98	$70.98	$84.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $134.40 / $382.70	Professional		$73.48	$134.40	$382.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $70.51 / $192.79	Professional	TC	$17.07	$70.51	$192.79
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $70.98 / $84.38	Facility	26	$70.98	$70.98	$84.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $149.33 / $235.08	Professional		$90.64	$149.33	$235.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $70.51 / $84.97	Professional	TC	$17.85	$70.51	$84.97
United Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $159.60 / $189.72	Professional		$131.13	$159.60	$189.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.27 / $81.79 / $97.02	Professional	TC	$66.27	$81.79	$97.02