Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $73.34 / $138.37	Professional		$25.66	$73.34	$138.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $9.94 / $49.00	Professional	26	$8.84	$9.94	$49.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.71 / $63.97 / $70.37	Professional	TC	$15.71	$63.97	$70.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $39.44	Professional		$14.72	$14.72	$39.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $52.59 / $140.12	Professional		$31.66	$52.59	$140.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $14.72 / $23.13	Professional	26	$10.21	$14.72	$23.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $29.69 / $129.24	Professional	TC	$17.80	$29.69	$129.24
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $38.69 / $61.10	Professional		$23.83	$38.69	$61.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $14.72 / $19.26	Professional	26	$10.21	$14.72	$19.26
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $23.52 / $102.17	Professional	TC	$16.82	$23.52	$102.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $35.75 / $62.37	Professional		$19.94	$35.75	$62.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $9.10 / $17.75	Professional	26	$8.52	$9.10	$17.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $19.60 / $53.27	Professional	TC	$11.35	$19.60	$53.27