Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $111.62 / $153.12	Professional		$60.14	$111.62	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $18.39 / $28.45	Professional	26	$16.67	$18.39	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.33 / $83.17 / $134.71	Professional	TC	$43.33	$83.17	$134.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $77,999.99 / $94,999.99	Facility		$358.74	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $28.39 / $106.21	Professional		$28.39	$28.39	$106.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $106.21 / $145.76	Facility		$83.01	$106.21	$145.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.39 / $28.39 / $33.75	Facility	26	$28.39	$28.39	$33.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $116.07 / $287.75	Professional		$63.82	$116.07	$287.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $25.55 / $76.25	Professional	26	$17.97	$25.55	$76.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.30 / $84.41 / $211.49	Professional	TC	$43.30	$84.41	$211.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $106.21 / $158.12	Facility		$60.14	$106.21	$158.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.39 / $28.39 / $33.75	Facility	26	$28.39	$28.39	$33.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $104.60 / $165.44	Professional		$65.56	$104.60	$165.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $25.55 / $31.65	Professional	26	$14.48	$25.55	$31.65
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.30 / $77.81 / $180.42	Professional	TC	$43.30	$77.81	$180.42
United Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $119.16 / $204.95	Professional		$95.88	$119.16	$204.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.00 / $30.21 / $36.04	Professional	26	$25.00	$30.21	$36.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.84 / $83.70 / $172.13	Professional	TC	$68.84	$83.70	$172.13