Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $30.60 / $151.59	Professional		$19.69	$30.60	$151.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.05 / $39.38	Professional	26	$7.95	$9.05	$39.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.46 / $22.05 / $41.51	Professional	TC	$14.46	$22.05	$41.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $13.67 / $37.86	Professional		$13.67	$13.67	$37.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $37.86 / $67.43	Professional		$28.98	$37.86	$67.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $13.67 / $21.34	Professional	26	$8.39	$13.67	$21.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $24.19 / $47.19	Professional	TC	$19.70	$24.19	$47.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $41.54 / $62.39	Professional		$23.09	$41.54	$62.39
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.67 / $19.39	Professional	26	$8.32	$13.67	$19.39
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.19 / $26.60 / $36.34	Professional	TC	$19.19	$26.60	$36.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $30.08 / $49.44	Professional		$28.15	$30.08	$49.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $9.38 / $16.48	Professional	26	$9.22	$9.38	$16.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $20.77 / $32.96	Professional	TC	$18.77	$20.77	$32.96