Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $35.35 / $168.00	Professional		$28.91	$35.35	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.76 / $31.50	Professional	26	$8.51	$9.76	$31.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.10 / $41.46	Professional	TC	$20.39	$23.10	$41.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $53.11	Professional		$14.72	$14.72	$53.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $47.70 / $72.50	Professional		$32.96	$47.70	$72.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $14.67 / $23.87	Professional	26	$9.84	$14.67	$23.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $30.85 / $47.55	Professional	TC	$23.23	$30.85	$47.55
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $53.11 / $84.64	Professional		$32.67	$53.11	$84.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $14.72 / $19.26	Professional	26	$9.84	$14.72	$19.26
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.12 / $32.24 / $45.98	Professional	TC	$23.12	$32.24	$45.98
United Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $33.20 / $58.31	Professional		$31.71	$33.20	$58.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $10.47 / $18.39	Professional	26	$10.32	$10.47	$18.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.60 / $22.73 / $39.92	Professional	TC	$19.60	$22.73	$39.92