Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $53.72 / $265.00	Professional		$43.78	$53.72	$265.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $12.41 / $39.40	Professional	26	$9.69	$12.41	$39.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $41.31 / $72.16	Professional	TC	$33.15	$41.31	$72.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $17.88 / $83.60	Professional		$17.88	$17.88	$83.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.88 / $17.88 / $22.10	Facility	26	$17.88	$17.88	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $71.78 / $114.26	Professional		$45.17	$71.78	$114.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $17.88 / $28.73	Professional	26	$11.86	$17.88	$28.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.59 / $53.57 / $84.08	Professional	TC	$32.59	$53.57	$84.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $17.88 / $17.88 / $22.10	Facility	26	$17.88	$17.88	$22.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $83.60 / $133.24	Professional		$51.76	$83.60	$133.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $18.30 / $24.74	Professional	26	$11.36	$18.30	$24.74
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $57.45 / $76.13	Professional	TC	$32.44	$57.45	$76.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $52.33 / $91.90	Professional		$46.09	$52.33	$91.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.54 / $12.89 / $22.18	Professional	26	$12.54	$12.89	$22.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $39.70 / $69.72	Professional	TC	$33.54	$39.70	$69.72