Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $121.03 / $121.03 / $121.03	Facility	TC	$121.03	$121.03	$121.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $23.58 / $44.49	Professional		$20.92	$23.58	$44.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.50 / $34.11	Professional	26	$6.42	$7.50	$34.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $16.76 / $24.66	Professional	TC	$13.83	$16.76	$24.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.57 / $34.18	Professional		$11.57	$11.57	$34.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.57 / $11.57 / $14.30	Facility	26	$11.57	$11.57	$14.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	TC	$22.61	$22.61	$27.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $32.15 / $51.35	Professional		$22.14	$32.15	$51.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $11.12 / $18.17	Professional	26	$7.23	$11.12	$18.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $22.61 / $34.33	Professional	TC	$17.01	$22.61	$34.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $11.57 / $11.57 / $14.30	Facility	26	$11.57	$11.57	$14.30
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $22.61 / $22.61 / $27.95	Facility	TC	$22.61	$22.61	$27.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $34.51 / $54.47	Professional		$20.83	$34.51	$54.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $11.57 / $15.15	Professional	26	$7.19	$11.57	$15.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $22.61 / $33.97	Professional	TC	$16.00	$22.61	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $23.23 / $38.02	Professional		$21.65	$23.23	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $7.94 / $13.94	Professional	26	$7.74	$7.94	$13.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $15.49 / $24.31	Professional	TC	$13.71	$15.49	$24.31