Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $36.63 / $188.00	Professional		$29.87	$36.63	$188.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $9.27 / $20.17	Professional	26	$7.92	$9.27	$20.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.35 / $51.90	Professional	TC	$21.94	$27.35	$51.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $13.67 / $61.52	Professional		$13.67	$13.67	$61.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $49.18 / $79.63	Professional		$29.48	$49.18	$79.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $13.65 / $21.44	Professional	26	$8.77	$13.65	$21.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $35.53 / $57.43	Professional	TC	$20.59	$35.53	$57.43
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $61.52 / $97.21	Professional		$37.93	$61.52	$97.21
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.67 / $17.89	Professional	26	$8.71	$13.67	$17.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $39.28 / $54.20	Professional	TC	$21.52	$39.28	$54.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $37.17 / $107.30	Professional		$30.60	$37.17	$107.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $9.38 / $24.05	Professional	26	$9.22	$9.38	$24.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.79 / $49.28	Professional	TC	$21.38	$27.79	$49.28