Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $48.42 / $254.00	Professional		$43.64	$48.42	$254.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $16.01 / $69.30	Professional	26	$13.58	$16.01	$69.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $34.03 / $69.02	Professional	TC	$30.03	$34.03	$69.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $23.66 / $78.87	Professional		$23.66	$23.66	$78.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $71.59 / $108.12	Professional		$44.23	$71.59	$108.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $23.29 / $36.96	Professional	26	$15.33	$23.29	$36.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $45.40 / $68.65	Professional	TC	$28.77	$45.40	$68.65
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $78.87 / $125.70	Professional		$48.33	$78.87	$125.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $23.66 / $30.91	Professional	26	$15.15	$23.66	$30.91
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $46.90 / $69.95	Professional	TC	$28.77	$46.90	$69.95
United Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $49.08 / $86.19	Professional		$47.20	$49.08	$86.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $16.60 / $28.52	Professional	26	$16.23	$16.60	$28.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.32 / $32.84 / $57.67	Professional	TC	$28.32	$32.84	$57.67