Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $58.43 / $219.30	Professional		$47.71	$58.43	$219.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.68 / $60.00	Professional	26	$13.49	$17.68	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $41.70 / $112.34	Professional	TC	$34.09	$41.70	$112.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $84.65	Professional		$19.98	$19.98	$84.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.98 / $19.98 / $24.70	Facility	26	$19.98	$19.98	$24.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $67.45 / $116.96	Professional		$45.80	$67.45	$116.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $19.98 / $32.00	Professional	26	$14.95	$19.98	$32.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.21 / $46.56 / $78.39	Professional	TC	$35.21	$46.56	$78.39
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.98 / $19.98 / $24.70	Facility	26	$19.98	$19.98	$24.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $84.65 / $134.08	Professional		$52.23	$84.65	$134.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $21.93 / $30.02	Professional	26	$14.40	$21.93	$30.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $48.65 / $70.97	Professional	TC	$34.52	$48.65	$70.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $51.25 / $90.00	Professional		$51.25	$51.25	$90.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $16.22 / $24.71	Professional	26	$14.07	$16.22	$24.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.03 / $37.18 / $65.29	Professional	TC	$35.03	$37.18	$65.29