Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $67.65 / $293.41	Professional		$60.68	$67.65	$293.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $16.71 / $39.77	Professional	26	$13.88	$16.71	$39.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $50.93 / $133.77	Professional	TC	$44.99	$50.93	$133.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $98.85	Professional		$22.61	$22.61	$98.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	26	$22.61	$22.61	$27.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $85.11 / $139.32	Professional		$58.68	$85.11	$139.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $22.61 / $36.53	Professional	26	$17.55	$22.61	$36.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.70 / $60.53 / $94.63	Professional	TC	$43.70	$60.53	$94.63
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	26	$22.61	$22.61	$27.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $98.85 / $156.71	Professional		$60.94	$98.85	$156.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $24.94 / $33.97	Professional	26	$17.42	$24.94	$33.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.70 / $62.14 / $92.58	Professional	TC	$43.70	$62.14	$92.58
United Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $64.16 / $105.84	Professional		$56.57	$64.16	$105.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $18.80 / $29.98	Professional	26	$15.52	$18.80	$29.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $45.35 / $78.58	Professional	TC	$44.75	$45.35	$78.58