Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $33.08 / $166.00	Professional		$26.51	$33.08	$166.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $9.98 / $21.76	Professional	26	$8.24	$9.98	$21.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $22.99 / $27.47	Professional	TC	$18.27	$22.99	$27.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $50.48	Professional		$14.72	$14.72	$50.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $45.18 / $70.79	Professional		$31.50	$45.18	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $14.66 / $23.77	Professional	26	$9.16	$14.66	$23.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $30.52 / $45.92	Professional	TC	$22.28	$30.52	$45.92
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $50.48 / $81.29	Professional		$31.06	$50.48	$81.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $14.84 / $19.94	Professional	26	$9.22	$14.84	$19.94
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $31.65 / $42.55	Professional	TC	$21.34	$31.65	$42.55
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $31.76 / $55.78	Professional		$28.76	$31.76	$55.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $10.74 / $18.57	Professional	26	$9.59	$10.74	$18.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $21.29 / $37.39	Professional	TC	$18.98	$21.29	$37.39