Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.08 / $36.08 / $36.08	Facility	26	$36.08	$36.08	$36.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $263.36 / $263.36 / $346.91	Facility	TC	$263.36	$263.36	$346.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $35.90 / $194.00	Professional		$30.40	$35.90	$194.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.39 / $48.64	Professional	26	$10.31	$12.39	$48.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $24.00 / $89.60	Professional	TC	$19.89	$24.00	$89.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $57.84	Professional		$16.82	$16.82	$57.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.82 / $16.82 / $20.80	Facility	26	$16.82	$16.82	$20.80
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $41.01 / $41.01 / $50.70	Facility	TC	$41.01	$41.01	$50.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $47.22 / $80.88	Professional		$34.15	$47.22	$80.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $16.70 / $27.14	Professional	26	$12.50	$16.70	$27.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $30.52 / $52.42	Professional	TC	$21.67	$30.52	$52.42
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.82 / $16.82 / $20.80	Facility	26	$16.82	$16.82	$20.80
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $41.01 / $41.01 / $50.70	Facility	TC	$41.01	$41.01	$50.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $57.84 / $93.02	Professional		$35.59	$57.84	$93.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $16.82 / $22.68	Professional	26	$12.50	$16.82	$22.68
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $37.84 / $45.01	Professional	TC	$21.67	$37.84	$45.01
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $36.45 / $64.01	Professional		$33.65	$36.45	$64.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $12.17 / $20.92	Professional	26	$11.82	$12.17	$20.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $24.54 / $72.14	Professional	TC	$21.84	$24.54	$72.14