Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $39.46 / $207.00	Professional		$37.67	$39.46	$207.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $9.98 / $16.09	Professional	26	$8.84	$9.98	$16.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $29.58 / $53.05	Professional	TC	$25.37	$29.58	$53.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $65.20	Professional		$16.30	$16.30	$65.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $16.30 / $20.14	Facility	26	$16.30	$16.30	$20.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $55.73 / $86.48	Professional		$37.46	$55.73	$86.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $16.19 / $26.30	Professional	26	$10.70	$16.19	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.68 / $39.54 / $59.72	Professional	TC	$26.68	$39.54	$59.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $16.30 / $20.14	Facility	26	$16.30	$16.30	$20.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $65.20 / $103.91	Professional		$40.13	$65.20	$103.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.32 / $22.00	Professional	26	$10.23	$16.32	$22.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $41.03 / $55.57	Professional	TC	$25.96	$41.03	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $40.42 / $70.98	Professional		$36.15	$40.42	$70.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $11.55 / $20.28	Professional	26	$11.43	$11.55	$20.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.07 / $28.87 / $86.01	Professional	TC	$25.07	$28.87	$86.01