Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.71 / $166.40	Professional		$35.09	$45.71	$166.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $12.91 / $31.09	Professional	26	$11.82	$12.91	$31.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $27.51 / $65.05	Professional	TC	$23.26	$27.51	$65.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $19.45 / $67.30	Professional		$19.45	$19.45	$67.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.45 / $19.45 / $24.05	Facility	26	$19.45	$19.45	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $53.50 / $93.79	Professional		$39.60	$53.50	$93.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.38 / $17.87 / $31.16	Professional	26	$14.38	$17.87	$31.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.22 / $35.53 / $60.53	Professional	TC	$25.22	$35.53	$60.53
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.45 / $19.45 / $24.05	Facility	26	$19.45	$19.45	$24.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $67.30 / $107.26	Professional		$41.35	$67.30	$107.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.38 / $19.45 / $26.18	Professional	26	$14.38	$19.45	$26.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.22 / $44.08 / $52.51	Professional	TC	$25.22	$44.08	$52.51
United Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $42.22 / $74.87	Professional		$39.03	$42.22	$74.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $14.01 / $24.31	Professional	26	$13.61	$14.01	$24.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $28.51 / $50.07	Professional	TC	$25.42	$28.51	$50.07