Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $38.54 / $175.62	Professional		$27.52	$38.54	$175.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $10.15 / $30.84	Professional	26	$8.65	$10.15	$30.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.75 / $14.99 / $90.16	Professional	52	$11.75	$14.99	$90.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $28.39 / $54.56	Professional	TC	$18.87	$28.39	$54.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $45.74	Professional		$14.20	$14.20	$45.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.20 / $14.20 / $17.55	Facility	26	$14.20	$14.20	$17.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $45.74 / $81.73	Professional		$34.72	$45.74	$81.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.20 / $22.18	Professional	26	$9.94	$14.20	$22.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.89 / $31.55 / $57.44	Professional	TC	$24.89	$31.55	$57.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.20 / $14.20 / $17.55	Facility	26	$14.20	$14.20	$17.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $46.79 / $74.80	Professional		$28.02	$46.79	$74.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $15.33 / $21.33	Professional	26	$9.84	$15.33	$21.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.89 / $34.14 / $47.40	Professional	TC	$24.89	$34.14	$47.40
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $36.14 / $79.54	Professional		$31.76	$36.14	$79.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $11.07 / $17.41	Professional	26	$9.74	$11.07	$17.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $25.07 / $38.67	Professional	TC	$22.02	$25.07	$38.67