Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $194.75 / $506.60	Facility		$83.93	$194.75	$506.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $225.30 / $228.86 / $410.80	Facility	TC	$225.30	$228.86	$410.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $43.83 / $169.00	Professional		$35.10	$43.83	$169.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.56 / $45.00	Professional	26	$10.02	$12.56	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $31.24 / $88.04	Professional	TC	$25.05	$31.24	$88.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.14 / $77,999.99 / $94,999.99	Facility		$207.14	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $62.57	Professional		$16.82	$16.82	$62.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $62.57 / $80.31	Facility		$46.21	$62.57	$80.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.82 / $16.82 / $20.80	Facility	26	$16.82	$16.82	$20.80
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $45.74 / $45.74 / $56.55	Facility	TC	$45.74	$45.74	$56.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $48.92 / $84.85	Professional		$34.13	$48.92	$84.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $16.82 / $26.30	Professional	26	$10.70	$16.82	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $34.92 / $57.29	Professional	TC	$24.20	$34.92	$57.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $55.72 / $80.31	Facility		$39.61	$55.72	$80.31
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.82 / $16.82 / $20.80	Facility	26	$16.82	$16.82	$20.80
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $45.74 / $45.74 / $56.55	Facility	TC	$45.74	$45.74	$56.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $62.57 / $99.72	Professional		$38.47	$62.57	$99.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.82 / $23.51	Professional	26	$10.23	$16.82	$23.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.75 / $36.34 / $50.78	Professional	TC	$23.75	$36.34	$50.78
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $38.61 / $67.81	Professional		$36.38	$38.61	$67.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $11.80 / $29.59	Professional	26	$11.46	$11.80	$29.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $27.07 / $47.54	Professional	TC	$21.84	$27.07	$47.54