Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $35.79 / $137.33	Professional		$17.87	$35.79	$137.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.05 / $39.60	Professional	26	$7.03	$9.05	$39.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.00 / $18.00 / $18.00	Professional	50	$18.00	$18.00	$18.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.44 / $51.76	Professional	TC	$18.82	$21.44	$51.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $51.53	Professional		$12.62	$12.62	$51.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $12.62 / $15.60	Facility	26	$12.62	$12.62	$15.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $42.65 / $67.54	Professional		$26.42	$42.65	$67.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $12.13 / $19.75	Professional	26	$7.61	$12.13	$19.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $30.52 / $47.79	Professional	TC	$18.84	$30.52	$47.79
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $12.62 / $15.60	Facility	26	$12.62	$12.62	$15.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $51.53 / $81.29	Professional		$31.71	$51.53	$81.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $12.62 / $16.52	Professional	26	$7.64	$12.62	$16.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $32.24 / $43.92	Professional	TC	$18.84	$32.24	$43.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $31.76 / $55.78	Professional		$27.29	$31.76	$55.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $8.66 / $15.21	Professional	26	$8.48	$8.66	$15.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $23.10 / $40.57	Professional	TC	$18.80	$23.10	$40.57