Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $40.96 / $139.19	Professional		$37.95	$40.96	$139.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $15.17 / $22.96	Professional	26	$13.91	$15.17	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $25.78 / $53.64	Professional	TC	$23.51	$25.78	$53.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $72.03	Professional		$22.61	$22.61	$72.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	26	$22.61	$22.61	$27.95
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 $42.95 / $59.31 / $100.26	Professional		$42.95	$59.31	$100.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.61 / $37.60	Professional	26	$17.38	$22.61	$37.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $36.04 / $60.53	Professional	TC	$25.57	$36.04	$60.53
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	26	$22.61	$22.61	$27.95
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 $44.64 / $72.03 / $116.48	Professional		$44.64	$72.03	$116.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.61 / $31.59	Professional	26	$17.38	$22.61	$31.59
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $44.70 / $54.24	Professional	TC	$25.57	$44.70	$54.24
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $45.47 / $79.84	Professional		$42.25	$45.47	$79.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $16.96 / $29.15	Professional	26	$16.47	$16.96	$29.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.78 / $28.87 / $50.70	Professional	TC	$25.78	$28.87	$50.70