Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $29.46 / $116.06	Professional		$17.87	$29.46	$116.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $35.67	Professional	26	$7.03	$8.22	$35.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.87 / $14.64 / $80.87	Professional	52	$11.87	$14.64	$80.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $20.75 / $58.29	Professional	TC	$18.21	$20.75	$58.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $45.22	Professional		$12.09	$12.09	$45.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $12.09 / $14.95	Facility	26	$12.09	$12.09	$14.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $41.65 / $62.41	Professional		$26.24	$41.65	$62.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $12.09 / $19.01	Professional	26	$7.61	$12.09	$19.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.11 / $29.52 / $42.67	Professional	TC	$18.11	$29.52	$42.67
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $12.09 / $14.95	Facility	26	$12.09	$12.09	$14.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $45.22 / $72.06	Professional		$27.82	$45.22	$72.06
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.09 / $15.83	Professional	26	$7.58	$12.09	$15.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $31.65 / $43.92	Professional	TC	$17.77	$31.65	$43.92
United Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $28.51 / $50.07	Professional		$26.55	$28.51	$50.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $8.30 / $21.26	Professional	26	$8.11	$8.30	$21.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $20.21 / $35.49	Professional	TC	$18.44	$20.21	$35.49