Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $31.64 / $165.00	Professional		$25.85	$31.64	$165.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.05 / $44.43	Professional	26	$7.33	$9.05	$44.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.20 / $59.24 / $59.24	Professional	50	$52.20	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $23.10 / $28.75	Professional	TC	$18.53	$23.10	$28.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $51.53	Professional		$13.15	$13.15	$51.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $13.15 / $16.25	Facility	26	$13.15	$13.15	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $42.66 / $68.18	Professional		$26.40	$42.66	$68.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $12.64 / $19.85	Professional	26	$8.39	$12.64	$19.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $30.02 / $47.55	Professional	TC	$17.77	$30.02	$47.55
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $13.15 / $16.25	Facility	26	$13.15	$13.15	$16.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $51.53 / $82.12	Professional		$31.65	$51.53	$82.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.15 / $16.52	Professional	26	$8.32	$13.15	$16.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $32.24 / $43.92	Professional	TC	$17.53	$32.24	$43.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $31.40 / $55.14	Professional		$27.93	$31.40	$55.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $8.85 / $15.21	Professional	26	$8.59	$8.85	$15.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $22.74 / $39.93	Professional	TC	$19.17	$22.74	$39.93