Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $48.84 / $242.00	Professional		$39.97	$48.84	$242.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $14.12 / $30.18	Professional	26	$12.10	$14.12	$30.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $34.72 / $59.42	Professional	TC	$27.87	$34.72	$59.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $21.03 / $75.72	Professional		$21.03	$21.03	$75.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.03 / $21.03 / $26.00	Facility	26	$21.03	$21.03	$26.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $65.80 / $102.43	Professional		$43.00	$65.80	$102.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $20.75 / $32.84	Professional	26	$13.41	$20.75	$32.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.52 / $45.05 / $67.84	Professional	TC	$29.52	$45.05	$67.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $21.03 / $21.03 / $26.00	Facility	26	$21.03	$21.03	$26.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $75.72 / $120.67	Professional		$46.91	$75.72	$120.67
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $21.03 / $27.48	Professional	26	$13.27	$21.03	$27.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.50 / $46.31 / $63.11	Professional	TC	$29.50	$46.31	$63.11
United Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $47.28 / $83.03	Professional		$42.77	$47.28	$83.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.32 / $14.44 / $25.36	Professional	26	$14.32	$14.44	$25.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.31 / $32.84 / $58.23	Professional	TC	$28.31	$32.84	$58.23