Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $47.41 / $208.79	Professional		$38.77	$47.41	$208.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $12.91 / $60.00	Professional	26	$11.21	$12.91	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $33.04 / $68.17	Professional	TC	$27.55	$33.04	$68.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $19.45 / $74.66	Professional		$19.45	$19.45	$74.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.45 / $19.45 / $24.05	Facility	26	$19.45	$19.45	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $63.78 / $101.44	Professional		$41.84	$63.78	$101.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $19.23 / $31.16	Professional	26	$12.25	$19.23	$31.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.50 / $44.55 / $68.65	Professional	TC	$29.50	$44.55	$68.65
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.45 / $19.45 / $24.05	Facility	26	$19.45	$19.45	$24.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $74.66 / $118.16	Professional		$45.98	$74.66	$118.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $19.45 / $25.42	Professional	26	$12.14	$19.45	$25.42
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.16 / $46.31 / $63.11	Professional	TC	$29.16	$46.31	$63.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $46.56 / $81.77	Professional		$41.30	$46.56	$81.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $13.71 / $24.08	Professional	26	$13.28	$13.71	$24.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.92 / $32.85 / $57.69	Professional	TC	$27.92	$32.85	$57.69