Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $45.07 / $131.57	Professional		$40.39	$45.07	$131.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.97 / $23.41	Professional	26	$9.41	$10.97	$23.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $35.09 / $57.10	Professional	TC	$30.98	$35.09	$57.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $70.45	Professional		$18.39	$18.39	$70.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $22.75	Facility	26	$18.39	$18.39	$22.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $63.44 / $92.93	Professional		$44.93	$63.44	$92.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $16.19 / $27.65	Professional	26	$10.70	$16.19	$27.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.15 / $45.40 / $65.40	Professional	TC	$34.15	$45.40	$65.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $22.75	Facility	26	$18.39	$18.39	$22.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $70.45 / $111.45	Professional		$43.35	$70.45	$111.45
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $18.17 / $21.31	Professional	26	$10.23	$18.17	$21.31
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $46.31 / $70.65	Professional	TC	$33.79	$46.31	$70.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $43.67 / $76.69	Professional		$39.47	$43.67	$76.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $12.63 / $22.18	Professional	26	$11.10	$12.63	$22.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.28 / $32.08 / $55.08	Professional	TC	$28.28	$32.08	$55.08