Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $107.67 / $223.35 / $228.92	Facility	TC	$107.67	$223.35	$228.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $32.50 / $137.00	Professional		$23.95	$32.50	$137.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.60 / $26.00	Professional	26	$5.53	$6.60	$26.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $25.31 / $97.00	Professional	TC	$21.01	$25.31	$97.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $46.27	Professional		$9.99	$9.99	$46.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $9.99 / $12.35	Facility	26	$9.99	$9.99	$12.35
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $36.28 / $36.28 / $44.85	Facility	TC	$36.28	$36.28	$44.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $38.59 / $66.20	Professional		$23.96	$38.59	$66.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $9.60 / $15.74	Professional	26	$6.45	$9.60	$15.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $34.03 / $49.98	Professional	TC	$18.19	$34.03	$49.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $9.99 / $12.35	Facility	26	$9.99	$9.99	$12.35
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $36.28 / $36.28 / $44.85	Facility	TC	$36.28	$36.28	$44.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $46.27 / $73.73	Professional		$28.48	$46.27	$73.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $9.99 / $13.09	Professional	26	$6.06	$9.99	$13.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $35.76 / $50.78	Professional	TC	$18.84	$35.76	$50.78
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $28.51 / $50.07	Professional		$27.29	$28.51	$50.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $6.86 / $12.05	Professional	26	$6.64	$6.86	$12.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $21.65 / $38.02	Professional	TC	$20.65	$21.65	$38.02