Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $71.53 / $107.79	Professional		$42.13	$71.53	$107.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $12.76 / $38.84	Professional	26	$7.33	$12.76	$38.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $63.35 / $78.90	Professional	TC	$26.74	$63.35	$78.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $67.30	Professional		$23.14	$23.14	$67.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.14 / $23.14 / $28.60	Facility	26	$23.14	$23.14	$28.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $76.81 / $110.41	Professional		$61.66	$76.81	$110.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $12.64 / $36.65	Professional	26	$7.99	$12.64	$36.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $64.48 / $86.28	Professional	TC	$44.17	$64.48	$86.28
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.14 / $23.14 / $28.60	Facility	26	$23.14	$23.14	$28.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $69.61 / $108.94	Professional		$41.41	$69.61	$108.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $14.66 / $25.39	Professional	26	$8.05	$14.66	$25.39
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $61.56 / $68.37	Professional	TC	$44.17	$61.56	$68.37
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $64.91 / $98.82	Professional		$42.59	$64.91	$98.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $15.88 / $27.89	Professional	26	$8.85	$15.88	$27.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $42.93 / $89.97	Professional	TC	$26.71	$42.93	$89.97