Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $55.07 / $102.70	Professional		$46.93	$55.07	$102.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $13.40 / $24.57	Professional	26	$12.37	$13.40	$24.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $37.38 / $82.01	Professional	TC	$34.14	$37.38	$82.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $94.64	Professional		$20.51	$20.51	$94.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.51 / $20.51 / $25.35	Facility	26	$20.51	$20.51	$25.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $67.70 / $123.91	Professional		$47.06	$67.70	$123.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $19.26 / $32.00	Professional	26	$15.48	$19.26	$32.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.94 / $52.07 / $89.76	Professional	TC	$36.94	$52.07	$89.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.51 / $20.51 / $25.35	Facility	26	$20.51	$20.51	$25.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $94.64 / $149.16	Professional		$58.50	$94.64	$149.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $20.51 / $28.24	Professional	26	$15.48	$20.51	$28.24
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $36.94 / $65.26 / $81.36	Professional	TC	$36.94	$65.26	$81.36
United Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $56.66 / $99.51	Professional		$51.92	$56.66	$99.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $15.12 / $24.71	Professional	26	$14.07	$15.12	$24.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.24 / $42.59 / $74.80	Professional	TC	$37.24	$42.59	$74.80