Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $47.25 / $229.53	Professional		$42.57	$47.25	$229.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $15.33 / $66.88	Professional	26	$12.68	$15.33	$66.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $31.92 / $54.21	Professional	TC	$28.17	$31.92	$54.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $21.03 / $70.45	Professional		$21.03	$21.03	$70.45
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 Facility Modifier TC Low / Median / High Price $49.43 / $49.43 / $61.10	Facility	TC	$49.43	$49.43	$61.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $70.36 / $105.86	Professional		$49.56	$70.36	$105.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $21.03 / $33.65	Professional	26	$16.77	$21.03	$33.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.69 / $44.81 / $67.84	Professional	TC	$32.69	$44.81	$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 Facility Modifier TC Low / Median / High Price $49.43 / $49.43 / $61.10	Facility	TC	$49.43	$49.43	$61.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $72.25 / $112.29	Professional		$43.35	$72.25	$112.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $23.08 / $31.60	Professional	26	$16.29	$23.08	$31.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.66 / $46.31 / $63.80	Professional	TC	$31.66	$46.31	$63.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $46.09 / $78.59	Professional		$44.75	$46.09	$78.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.89 / $26.50	Professional	26	$14.80	$17.89	$26.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.13 / $29.95 / $52.60	Professional	TC	$29.13	$29.95	$52.60