Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $34.36 / $168.00	Professional		$28.03	$34.36	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.69 / $18.80	Professional	26	$7.63	$8.69	$18.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.71 / $45.94	Professional	TC	$20.39	$24.71	$45.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $51.00	Professional		$13.15	$13.15	$51.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $13.15 / $16.25	Facility	26	$13.15	$13.15	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $46.17 / $73.05	Professional		$31.07	$46.17	$73.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $13.14 / $20.59	Professional	26	$8.39	$13.14	$20.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.65 / $33.03 / $51.60	Professional	TC	$22.65	$33.03	$51.60
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $13.15 / $16.25	Facility	26	$13.15	$13.15	$16.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $51.00 / $81.29	Professional		$31.38	$51.00	$81.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $13.15 / $17.20	Professional	26	$7.97	$13.15	$17.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $34.59 / $47.35	Professional	TC	$21.70	$34.59	$47.35
United Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $31.40 / $55.14	Professional		$29.50	$31.40	$55.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $9.02 / $15.84	Professional	26	$8.85	$9.02	$15.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $22.38 / $39.29	Professional	TC	$20.65	$22.38	$39.29