Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $72.68 / $290.00	Professional		$56.75	$72.68	$290.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $16.52 / $67.81	Professional	26	$14.36	$16.52	$67.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $50.05 / $95.92	Professional	TC	$42.39	$50.05	$95.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $23.66 / $110.94	Professional		$23.66	$23.66	$110.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $81.65 / $150.24	Professional		$56.89	$81.65	$150.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $21.58 / $37.92	Professional	26	$17.39	$21.58	$37.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.81 / $64.59 / $110.87	Professional	TC	$45.81	$64.59	$110.87
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $110.94 / $176.82	Professional		$68.52	$110.94	$176.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $23.66 / $31.66	Professional	26	$17.39	$23.66	$31.66
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $45.81 / $80.83 / $95.78	Professional	TC	$45.81	$80.83	$95.78
United Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $68.56 / $120.42	Professional		$62.66	$68.56	$120.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $16.96 / $29.15	Professional	26	$16.47	$16.96	$29.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.19 / $51.97 / $91.27	Professional	TC	$46.19	$51.97	$91.27