Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $223.35 / $223.35 / $223.35	Facility	TC	$223.35	$223.35	$223.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $31.41 / $117.46	Professional		$26.77	$31.41	$117.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.72 / $39.94	Professional	26	$8.46	$9.72	$39.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $19.71 / $42.04	Professional	TC	$18.32	$19.71	$42.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $52.05	Professional		$14.20	$14.20	$52.05
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 Facility Modifier TC Low / Median / High Price $37.86 / $37.86 / $46.80	Facility	TC	$37.86	$37.86	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $40.63 / $71.51	Professional		$30.09	$40.63	$71.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.65 / $22.18	Professional	26	$10.19	$12.65	$22.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $28.02 / $48.36	Professional	TC	$19.89	$28.02	$48.36
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 Facility Modifier TC Low / Median / High Price $37.86 / $37.86 / $46.80	Facility	TC	$37.86	$37.86	$46.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $52.05 / $82.96	Professional		$31.98	$52.05	$82.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $14.20 / $18.57	Professional	26	$10.19	$14.20	$18.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $35.97 / $41.54	Professional	TC	$19.89	$35.97	$41.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $32.11 / $56.41	Professional		$30.60	$32.11	$56.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $9.96 / $24.98	Professional	26	$9.67	$9.96	$24.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $22.38 / $39.29	Professional	TC	$20.05	$22.38	$39.29