Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $28.16 / $148.00	Professional		$25.17	$28.16	$148.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $7.84 / $18.38	Professional	26	$7.50	$7.84	$18.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $19.00 / $37.40	Professional	TC	$17.67	$19.00	$37.40
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 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 $28.25 / $37.59 / $65.65	Professional		$28.25	$37.59	$65.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $11.26 / $19.75	Professional	26	$9.07	$11.26	$19.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $27.02 / $45.11	Professional	TC	$19.18	$27.02	$45.11
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 / $46.31 / $73.73	Professional		$28.40	$46.31	$73.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $12.62 / $16.52	Professional	26	$9.07	$12.62	$16.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $33.65 / $37.07	Professional	TC	$19.18	$33.65	$37.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $29.59 / $51.97	Professional		$27.93	$29.59	$51.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $8.85 / $15.21	Professional	26	$8.59	$8.85	$15.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.34 / $20.93 / $36.76	Professional	TC	$19.34	$20.93	$36.76