Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $52.17 / $197.24	Professional		$38.83	$52.17	$197.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $10.75 / $25.27	Professional	26	$10.02	$10.75	$25.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.63 / $41.42 / $51.90	Professional	TC	$28.63	$41.42	$51.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $64.15	Professional		$16.82	$16.82	$64.15
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 $45.79 / $64.15 / $96.38	Professional		$45.79	$64.15	$96.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $16.82 / $26.30	Professional	26	$10.70	$16.82	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $45.98 / $71.09	Professional	TC	$35.56	$45.98	$71.09
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 $39.47 / $65.77 / $102.24	Professional		$39.47	$65.77	$102.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $16.82 / $24.19	Professional	26	$10.36	$16.82	$24.19
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.89 / $47.32 / $64.48	Professional	TC	$34.89	$47.32	$64.48
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $48.30 / $70.34	Professional		$40.06	$48.30	$70.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $11.80 / $20.48	Professional	26	$11.46	$11.80	$20.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $36.50 / $50.07	Professional	TC	$28.51	$36.50	$50.07