Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $42.36 / $125.98	Professional		$37.92	$42.36	$125.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $11.49 / $24.66	Professional	26	$9.75	$11.49	$24.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $31.92 / $51.90	Professional	TC	$28.17	$31.92	$51.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $18.93 / $66.78	Professional		$18.93	$18.93	$66.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.93 / $18.93 / $23.40	Facility	26	$18.93	$18.93	$23.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $62.27 / $92.07	Professional		$37.02	$62.27	$92.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $17.11 / $28.44	Professional	26	$10.32	$17.11	$28.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $43.65 / $65.40	Professional	TC	$27.02	$43.65	$65.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.93 / $18.93 / $23.40	Facility	26	$18.93	$18.93	$23.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $66.78 / $106.43	Professional		$41.04	$66.78	$106.43
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $18.62 / $22.82	Professional	26	$9.84	$18.62	$22.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $44.55 / $67.91	Professional	TC	$26.32	$44.55	$67.91
United Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $41.14 / $72.95	Professional		$38.31	$41.14	$72.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $12.99 / $22.81	Professional	26	$11.10	$12.99	$22.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.02 / $28.15 / $49.44	Professional	TC	$28.02	$28.15	$49.44