Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $42.18 / $216.00	Professional		$36.88	$42.18	$216.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $12.98 / $28.64	Professional	26	$11.50	$12.98	$28.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $28.95 / $54.22	Professional	TC	$25.37	$28.95	$54.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $69.41	Professional		$21.56	$21.56	$69.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.56 / $21.56 / $26.65	Facility	26	$21.56	$21.56	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $60.53 / $96.02	Professional		$41.87	$60.53	$96.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $19.73 / $34.43	Professional	26	$13.03	$19.73	$34.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $37.83 / $59.72	Professional	TC	$28.77	$37.83	$59.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $21.56 / $21.56 / $26.65	Facility	26	$21.56	$21.56	$26.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $69.41 / $110.62	Professional		$42.59	$69.41	$110.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.56 / $26.79	Professional	26	$12.88	$21.56	$26.79
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $27.74 / $41.62 / $57.63	Professional	TC	$27.74	$41.62	$57.63
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $43.67 / $122.10	Professional		$39.45	$43.67	$122.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $15.16 / $26.62	Professional	26	$13.64	$15.16	$26.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.58 / $28.51 / $50.07	Professional	TC	$24.58	$28.51	$50.07