Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $11.14 / $64.06	Professional	26	$9.09	$11.14	$64.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $27.46 / $157.82	Professional	TC	$22.37	$27.46	$157.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $15.68 / $26.20	Professional	26	$10.32	$15.68	$26.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $37.54 / $58.10	Professional	TC	$24.18	$37.54	$58.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $16.82 / $21.31	Professional	26	$9.86	$16.82	$21.31
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.75 / $40.45 / $54.20	Professional	TC	$23.75	$40.45	$54.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $11.55 / $20.29	Professional	26	$10.69	$11.55	$20.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.97 / $27.43 / $48.17	Professional	TC	$23.97	$27.43	$48.17