Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $252.90 / $642.97	Facility		$19.98	$252.90	$642.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $27.34 / $27.34	Facility	26	$27.34	$27.34	$27.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $206.15 / $314.11 / $395.57	Facility	TC	$206.15	$314.11	$395.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $29.27 / $133.00	Professional		$22.93	$29.27	$133.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.40 / $35.00	Professional	26	$7.95	$9.40	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $18.87 / $55.98	Professional	TC	$16.35	$18.87	$55.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.17 / $77,999.99 / $94,999.99	Facility		$217.17	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $44.17	Professional		$13.15	$13.15	$44.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $44.17 / $58.98	Facility		$33.93	$44.17	$58.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $13.15 / $16.25	Facility	26	$13.15	$13.15	$16.25
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $31.02 / $31.02 / $38.35	Facility	TC	$31.02	$31.02	$38.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $38.09 / $66.36	Professional		$26.09	$38.09	$66.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $13.15 / $20.59	Professional	26	$8.39	$13.15	$20.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $26.52 / $46.61	Professional	TC	$20.52	$26.52	$46.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.87 / $43.66 / $58.98	Facility		$27.87	$43.66	$58.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $13.15 / $16.25	Facility	26	$13.15	$13.15	$16.25
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $31.02 / $31.02 / $38.35	Facility	TC	$31.02	$31.02	$38.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $44.75 / $70.39	Professional		$27.05	$44.75	$70.39
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.15 / $18.71	Professional	26	$8.32	$13.15	$18.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $31.02 / $41.87	Professional	TC	$17.77	$31.02	$41.87
United Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $31.87 / $50.70	Professional		$26.18	$31.87	$50.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $9.22 / $15.84	Professional	26	$8.94	$9.22	$15.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $19.85 / $34.86	Professional	TC	$16.96	$19.85	$34.86