Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $37.53 / $160.00	Professional		$30.51	$37.53	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $8.90 / $22.50	Professional	26	$8.25	$8.90	$22.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $26.19 / $60.68	Professional	TC	$22.26	$26.19	$60.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $63.10	Professional		$12.62	$12.62	$63.10
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 Professional Modifier Low / Median / High Price $29.31 / $50.60 / $85.95	Professional		$29.31	$50.60	$85.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $12.62 / $20.49	Professional	26	$8.39	$12.62	$20.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.80 / $36.04 / $64.59	Professional	TC	$20.80	$36.04	$64.59
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 Professional Modifier Low / Median / High Price $39.14 / $63.10 / $100.56	Professional		$39.14	$63.10	$100.56
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.35 / $18.96	Professional	26	$8.32	$13.35	$18.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $44.55 / $55.57	Professional	TC	$21.51	$44.55	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $39.34 / $69.09	Professional		$31.34	$39.34	$69.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $9.59 / $23.12	Professional	26	$8.94	$9.59	$23.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $30.32 / $53.25	Professional	TC	$21.75	$30.32	$53.25