Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $148.08 / $196.63	Professional		$116.06	$148.08	$196.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $43.04 / $68.28	Professional	26	$40.51	$43.04	$68.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $105.15 / $128.37	Professional	TC	$75.31	$105.15	$128.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $68.88 / $192.44	Professional		$68.88	$68.88	$192.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.88 / $68.88 / $81.88	Facility	26	$68.88	$68.88	$81.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $192.44 / $512.19	Professional		$125.09	$192.44	$512.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.77 / $61.99 / $185.60	Professional	26	$44.77	$61.99	$185.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.68 / $123.56 / $326.58	Professional	TC	$72.68	$123.56	$326.58
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $68.88 / $68.88 / $81.88	Facility	26	$68.88	$68.88	$81.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.31 / $192.44 / $299.75	Professional		$121.31	$192.44	$299.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $61.99 / $76.79	Professional	26	$37.36	$61.99	$76.79
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $60.67 / $111.20 / $238.62	Professional	TC	$60.67	$111.20	$238.62
United Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $218.41 / $262.74	Professional		$174.72	$218.41	$262.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $74.68 / $121.17	Professional	26	$49.88	$74.68	$121.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.66 / $138.87 / $185.92	Professional	TC	$110.66	$138.87	$185.92