Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $60.35 / $261.25	Professional		$51.49	$60.35	$261.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $16.48 / $66.40	Professional	26	$14.36	$16.48	$66.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $40.25 / $81.43	Professional	TC	$37.11	$40.25	$81.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $23.66 / $97.80	Professional		$23.66	$23.66	$97.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $77.25 / $135.63	Professional		$57.52	$77.25	$135.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $21.58 / $36.86	Professional	26	$17.39	$21.58	$36.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.13 / $56.58 / $96.25	Professional	TC	$40.13	$56.58	$96.25
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.80 / $155.87	Professional		$60.26	$97.80	$155.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $23.66 / $31.66	Professional	26	$17.39	$23.66	$31.66
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $40.13 / $70.87 / $81.36	Professional	TC	$40.13	$70.87	$81.36
United Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $59.91 / $105.21	Professional		$56.93	$59.91	$105.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $16.96 / $28.52	Professional	26	$16.23	$16.96	$28.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.46 / $43.67 / $76.69	Professional	TC	$40.46	$43.67	$76.69