Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $43.59 / $224.00	Professional		$35.67	$43.59	$224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $12.35 / $40.67	Professional	26	$10.60	$12.35	$40.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $31.24 / $88.11	Professional	TC	$25.05	$31.24	$88.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $68.88	Professional		$18.39	$18.39	$68.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $22.75	Facility	26	$18.39	$18.39	$22.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $58.76 / $93.24	Professional		$37.00	$58.76	$93.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $18.22 / $29.57	Professional	26	$11.86	$18.22	$29.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $40.54 / $62.16	Professional	TC	$24.48	$40.54	$62.16
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $22.75	Facility	26	$18.39	$18.39	$22.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $68.88 / $108.94	Professional		$42.38	$68.88	$108.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.39 / $24.74	Professional	26	$11.75	$18.39	$24.74
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $41.62 / $57.63	Professional	TC	$24.48	$41.62	$57.63
United Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $42.95 / $75.43	Professional		$37.95	$42.95	$75.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $12.99 / $22.81	Professional	26	$12.89	$12.99	$22.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.81 / $29.96 / $87.87	Professional	TC	$25.81	$29.96	$87.87