Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $38.51 / $186.00	Professional		$31.42	$38.51	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.19 / $41.97	Professional	26	$8.22	$10.19	$41.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $27.37 / $127.89	Professional	TC	$23.19	$27.37	$127.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $62.04	Professional		$16.82	$16.82	$62.04
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 $33.64 / $51.69 / $82.35	Professional		$33.64	$51.69	$82.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $14.16 / $25.28	Professional	26	$9.16	$14.16	$25.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $37.54 / $57.29	Professional	TC	$24.54	$37.54	$57.29
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 $38.11 / $62.04 / $98.88	Professional		$38.11	$62.04	$98.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $15.83 / $18.57	Professional	26	$9.10	$15.83	$18.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $38.69 / $53.52	Professional	TC	$24.12	$38.69	$53.52
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $38.61 / $67.81	Professional		$33.78	$38.61	$67.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $11.91 / $20.92	Professional	26	$9.67	$11.91	$20.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $26.71 / $46.90	Professional	TC	$23.69	$26.71	$46.90