Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $24.61 / $45.15	Professional		$21.53	$24.61	$45.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.89 / $17.16	Professional	26	$6.74	$7.89	$17.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $17.14 / $31.63	Professional	TC	$14.78	$17.14	$31.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $38.38	Professional		$12.09	$12.09	$38.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $12.09 / $14.95	Facility	26	$12.09	$12.09	$14.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $30.90 / $53.39	Professional		$21.47	$30.90	$53.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $11.62 / $18.82	Professional	26	$7.23	$11.62	$18.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $22.70 / $34.56	Professional	TC	$15.64	$22.70	$34.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $12.09 / $14.95	Facility	26	$12.09	$12.09	$14.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $38.38 / $62.01	Professional		$23.62	$38.38	$62.01
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $12.09 / $15.15	Professional	26	$7.19	$12.09	$15.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.54 / $24.03 / $33.65	Professional	TC	$15.54	$24.03	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $24.54 / $43.10	Professional		$23.60	$24.54	$43.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $8.30 / $14.58	Professional	26	$7.88	$8.30	$14.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $16.23 / $28.52	Professional	TC	$15.49	$16.23	$28.52