Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $296.58 / $296.58 / $296.58	Facility	TC	$296.58	$296.58	$296.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $41.00 / $212.00	Professional		$35.22	$41.00	$212.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $12.66 / $23.42	Professional	26	$12.05	$12.66	$23.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $27.96 / $51.90	Professional	TC	$23.17	$27.96	$51.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $67.83	Professional		$19.98	$19.98	$67.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.98 / $19.98 / $24.70	Facility	26	$19.98	$19.98	$24.70
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $47.85 / $47.85 / $59.15	Facility	TC	$47.85	$47.85	$59.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $55.23 / $93.06	Professional		$39.99	$55.23	$93.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $19.70 / $31.26	Professional	26	$14.77	$19.70	$31.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.22 / $35.53 / $59.72	Professional	TC	$25.22	$35.53	$59.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.98 / $19.98 / $24.70	Facility	26	$19.98	$19.98	$24.70
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $47.85 / $47.85 / $59.15	Facility	TC	$47.85	$47.85	$59.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $67.83 / $108.10	Professional		$41.73	$67.83	$108.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $19.98 / $26.86	Professional	26	$14.77	$19.98	$26.86
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.22 / $44.08 / $52.51	Professional	TC	$25.22	$44.08	$52.51
United Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $42.22 / $74.15	Professional		$39.38	$42.22	$74.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $14.38 / $35.15	Professional	26	$13.71	$14.38	$35.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $28.51 / $50.07	Professional	TC	$25.42	$28.51	$50.07