Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $354.96 / $1,243.58	Facility		$19.98	$354.96	$1,243.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.69 / $31.69 / $31.69	Facility	26	$31.69	$31.69	$31.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $179.55 / $302.48 / $302.48	Facility	TC	$179.55	$302.48	$302.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $36.40 / $159.11	Professional		$30.73	$36.40	$159.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.36 / $48.78	Professional	26	$9.27	$11.36	$48.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $23.92 / $55.10	Professional	TC	$21.01	$23.92	$55.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.86 / $77,999.99 / $94,999.99	Facility		$213.86	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $52.05	Professional		$15.25	$15.25	$52.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $52.05 / $64.34	Facility		$36.99	$52.05	$64.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.25 / $15.25 / $18.85	Facility	26	$15.25	$15.25	$18.85
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $36.81 / $36.81 / $45.50	Facility	TC	$36.81	$36.81	$45.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $43.54 / $78.20	Professional		$32.84	$43.54	$78.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $15.25 / $23.87	Professional	26	$10.70	$15.25	$23.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.75 / $32.01 / $51.60	Professional	TC	$23.75	$32.01	$51.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $55.46 / $69.14	Facility		$32.64	$55.46	$69.14
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.25 / $15.25 / $18.85	Facility	26	$15.25	$15.25	$18.85
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $36.81 / $36.81 / $45.50	Facility	TC	$36.81	$36.81	$45.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $52.05 / $82.96	Professional		$31.92	$52.05	$82.96
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 $23.12 / $36.81 / $48.04	Professional	TC	$23.12	$36.81	$48.04
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $34.01 / $56.41	Professional		$32.11	$34.01	$56.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $11.46 / $18.39	Professional	26	$10.47	$11.46	$18.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.39 / $22.55 / $38.02	Professional	TC	$21.39	$22.55	$38.02