Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $63.45 / $202.88	Professional		$41.75	$63.45	$202.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $24.87 / $96.60	Professional	26	$21.37	$24.87	$96.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.83 / $43.86	Professional	TC	$20.39	$23.83	$43.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $36.81 / $70.45	Professional		$36.81	$36.81	$70.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $45.50	Facility	26	$36.81	$36.81	$45.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $73.67 / $103.96	Professional		$57.12	$73.67	$103.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $36.81 / $53.45	Professional	26	$25.26	$36.81	$53.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.88 / $33.65 / $57.44	Professional	TC	$26.88	$33.65	$57.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $45.50	Facility	26	$36.81	$36.81	$45.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $77.98 / $121.30	Professional		$47.32	$77.98	$121.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $36.81 / $43.54	Professional	26	$30.24	$36.81	$43.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $33.65 / $50.56	Professional	TC	$28.46	$33.65	$50.56
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $48.67 / $83.66	Professional		$47.64	$48.67	$83.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.07 / $25.62 / $44.99	Professional	26	$25.07	$25.62	$44.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $23.60 / $38.67	Professional	TC	$21.84	$23.60	$38.67