Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $61.46 / $68.73	Professional		$39.67	$61.46	$68.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $14.50 / $33.83	Professional	26	$13.58	$14.50	$33.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $45.52 / $51.77	Professional	TC	$25.17	$45.52	$51.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $23.66 / $65.20	Professional		$23.66	$23.66	$65.20
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 $51.45 / $66.06 / $91.88	Professional		$51.45	$66.06	$91.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $23.29 / $36.96	Professional	26	$15.61	$23.29	$36.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.59 / $47.34 / $64.05	Professional	TC	$30.59	$47.34	$64.05
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 $39.74 / $65.20 / $103.91	Professional		$39.74	$65.20	$103.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $23.66 / $30.22	Professional	26	$15.51	$23.66	$30.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $27.53 / $38.47 / $53.67	Professional	TC	$27.53	$38.47	$53.67
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $56.18 / $77.43	Professional		$40.78	$56.18	$77.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $16.59 / $28.52	Professional	26	$16.23	$16.59	$28.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $34.68 / $60.84	Professional	TC	$21.48	$34.68	$60.84