Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $197.10 / $560.16	Facility		$45.63	$197.10	$560.16
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $104.76 / $104.76 / $407.89	Facility	TC	$104.76	$104.76	$407.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $31.37 / $159.52	Professional		$22.42	$31.37	$159.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.05 / $43.00	Professional	26	$6.74	$9.05	$43.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.35 / $46.40	Professional	TC	$18.82	$21.35	$46.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $77,999.99 / $94,999.99	Facility		$180.41	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $46.27	Professional		$12.62	$12.62	$46.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $46.27 / $60.05	Facility		$34.54	$46.27	$60.05
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 Facility Modifier TC Low / Median / High Price $33.65 / $33.65 / $41.60	Facility	TC	$33.65	$33.65	$41.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $42.14 / $62.32	Professional		$26.47	$42.14	$62.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $11.62 / $19.64	Professional	26	$7.23	$11.62	$19.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $30.52 / $42.67	Professional	TC	$19.21	$30.52	$42.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $42.48 / $60.05	Facility		$29.17	$42.48	$60.05
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 Facility Modifier TC Low / Median / High Price $33.65 / $33.65 / $41.60	Facility	TC	$33.65	$33.65	$41.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $46.27 / $73.73	Professional		$28.40	$46.27	$73.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $12.62 / $15.83	Professional	26	$7.26	$12.62	$15.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $31.65 / $43.92	Professional	TC	$18.84	$31.65	$43.92
United Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.87 / $50.70	Professional		$26.92	$28.87	$50.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $8.66 / $15.21	Professional	26	$7.75	$8.66	$15.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $20.21 / $35.49	Professional	TC	$18.98	$20.21	$35.49