Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $33.53 / $122.00	Professional		$17.27	$33.53	$122.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $14.72 / $51.60	Professional	26	$7.32	$14.72	$51.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.62 / $48.42	Professional	TC	$10.11	$12.62	$48.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $23.66 / $67.30	Professional		$23.66	$23.66	$67.30
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 $13.39 / $26.77 / $67.30	Professional		$13.39	$26.77	$67.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $12.13 / $35.54	Professional	26	$7.61	$12.13	$35.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.80 / $17.39 / $56.69	Professional	TC	$12.80	$17.39	$56.69
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 $22.33 / $58.72 / $105.59	Professional		$22.33	$58.72	$105.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $15.83 / $35.54	Professional	26	$7.58	$15.83	$35.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $12.80 / $22.68 / $65.56	Professional	TC	$12.80	$22.68	$65.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $43.67 / $76.69	Professional		$19.54	$43.67	$76.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $16.23 / $28.52	Professional	26	$8.23	$16.23	$28.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.60 / $27.43 / $48.17	Professional	TC	$8.60	$27.43	$48.17