Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $171.54 / $279.00	Professional		$138.30	$171.54	$279.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.16 / $144.26 / $230.30	Professional	TC	$114.16	$144.26	$230.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $42.06 / $287.61	Professional		$42.06	$42.06	$287.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.06 / $42.06 / $50.00	Facility	26	$42.06	$42.06	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $244.47 / $772.60	Professional		$74.89	$244.47	$772.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.06 / $204.86 / $657.50	Professional	TC	$41.06	$204.86	$657.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $42.06 / $42.06 / $50.00	Facility	26	$42.06	$42.06	$50.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $244.47 / $393.08	Professional		$144.60	$244.47	$393.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.14 / $181.14 / $245.55	Professional	TC	$43.14	$181.14	$245.55
United Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $220.35 / $265.31	Professional		$176.25	$220.35	$265.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.94 / $171.59 / $244.37	Professional	TC	$94.94	$171.59	$244.37