Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.33 / $53.33 / $53.33	Facility	26	$53.33	$53.33	$53.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $38.24 / $70.51	Professional		$35.39	$38.24	$70.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $13.17 / $20.35	Professional	26	$12.37	$13.17	$20.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $25.05 / $50.15	Professional	TC	$22.85	$25.05	$50.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $66.78	Professional		$20.51	$20.51	$66.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.51 / $20.51 / $25.35	Facility	26	$20.51	$20.51	$25.35
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $46.27 / $46.27 / $57.20	Facility	TC	$46.27	$46.27	$57.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $55.27 / $92.60	Professional		$39.97	$55.27	$92.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $20.23 / $32.00	Professional	26	$15.11	$20.23	$32.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $35.03 / $58.10	Professional	TC	$24.86	$35.03	$58.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.51 / $20.51 / $25.35	Facility	26	$20.51	$20.51	$25.35
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $46.27 / $46.27 / $57.20	Facility	TC	$46.27	$46.27	$57.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $66.78 / $106.43	Professional		$40.99	$66.78	$106.43
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $20.51 / $27.48	Professional	26	$15.11	$20.51	$27.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $43.45 / $50.78	Professional	TC	$24.86	$43.45	$50.78
United Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $41.86 / $73.51	Professional		$39.38	$41.86	$73.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $14.75 / $24.71	Professional	26	$14.07	$14.75	$24.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.06 / $27.79 / $48.80	Professional	TC	$25.06	$27.79	$48.80