Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $41.82 / $195.00	Professional		$34.17	$41.82	$195.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.99 / $34.20	Professional	26	$9.41	$10.99	$34.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $28.03 / $79.72	Professional	TC	$24.75	$28.03	$79.72
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 26 Low / Median / High Price $16.82 / $16.82 / $20.80	Facility	26	$16.82	$16.82	$20.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $49.84 / $84.04	Professional		$33.52	$49.84	$84.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $16.19 / $26.76	Professional	26	$10.70	$16.19	$26.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $37.83 / $57.29	Professional	TC	$27.30	$37.83	$57.29
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 Professional Modifier Low / Median / High Price $38.46 / $62.57 / $98.88	Professional		$38.46	$62.57	$98.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.82 / $21.31	Professional	26	$10.23	$16.82	$21.31
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $39.28 / $55.57	Professional	TC	$27.03	$39.28	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $38.97 / $68.45	Professional		$34.72	$38.97	$68.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $11.91 / $20.92	Professional	26	$11.10	$11.91	$20.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.63 / $27.07 / $47.54	Professional	TC	$23.63	$27.07	$47.54