Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $174.81 / $174.81 / $267.92	Professional	26	$174.81	$174.81	$267.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $270.26 / $572.60	Professional		$270.26	$270.26	$572.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $572.60 / $572.60	Professional		$572.60	$572.60	$572.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $270.26 / $270.26 / $270.26	Professional	26	$270.26	$270.26	$270.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.33 / $302.33 / $302.33	Professional	TC	$302.33	$302.33	$302.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.15 / $474.80 / $572.60	Professional		$335.15	$474.80	$572.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $270.26 / $270.26 / $270.26	Professional	26	$270.26	$270.26	$270.26
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $302.33 / $302.33 / $302.33	Professional	TC	$302.33	$302.33	$302.33
United Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $320.52 / $382.69	Professional		$208.74	$320.52	$382.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.74 / $111.30 / $299.39	Professional	26	$94.74	$111.30	$299.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $178.64 / $268.80	Professional	TC	$97.44	$178.64	$268.80