Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $53.00 / $281.00	Professional		$47.68	$53.00	$281.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.82 / $64.69	Professional	26	$13.58	$15.82	$64.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $38.60 / $71.13	Professional	TC	$34.09	$38.60	$71.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $24.19 / $83.08	Professional		$24.19	$24.19	$83.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.19 / $24.19 / $29.90	Facility	26	$24.19	$24.19	$29.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $76.81 / $113.80	Professional		$50.00	$76.81	$113.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $23.29 / $37.70	Professional	26	$15.33	$23.29	$37.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.21 / $50.05 / $73.52	Professional	TC	$35.21	$50.05	$73.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $24.19 / $24.19 / $29.90	Facility	26	$24.19	$24.19	$29.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $83.08 / $132.40	Professional		$50.98	$83.08	$132.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $24.19 / $31.59	Professional	26	$14.79	$24.19	$31.59
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $50.41 / $78.87	Professional	TC	$34.52	$50.41	$78.87
United Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $52.30 / $91.27	Professional		$50.88	$52.30	$91.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.60 / $29.15	Professional	26	$16.22	$16.60	$29.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.65 / $35.36 / $62.12	Professional	TC	$34.65	$35.36	$62.12