Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.49 / $149.00	Professional		$24.92	$30.49	$149.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.27 / $37.19	Professional	26	$7.33	$9.27	$37.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.03 / $51.18	Professional	TC	$17.57	$20.03	$51.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $13.67 / $49.43	Professional		$13.67	$13.67	$49.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $41.16 / $69.80	Professional		$25.54	$41.16	$69.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $12.64 / $20.63	Professional	26	$8.39	$12.64	$20.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $28.52 / $49.17	Professional	TC	$16.73	$28.52	$49.17
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $49.43 / $79.61	Professional		$30.41	$49.43	$79.61
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.67 / $16.52	Professional	26	$8.32	$13.67	$16.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $32.83 / $41.18	Professional	TC	$17.05	$32.83	$41.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.04 / $54.51	Professional		$26.92	$31.04	$54.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $9.38 / $16.47	Professional	26	$8.59	$9.38	$16.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $21.66 / $38.04	Professional	TC	$18.07	$21.66	$38.04