Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $82.48 / $340.90	Professional		$66.36	$82.48	$340.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $27.02 / $98.00	Professional	26	$16.92	$27.02	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.09 / $64.31 / $100.45	Professional	TC	$46.09	$64.31	$100.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $77.81	Professional		$36.28	$36.28	$77.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.28 / $36.28 / $44.85	Facility	26	$36.28	$36.28	$44.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $77.81 / $115.03	Professional		$57.59	$77.81	$115.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $36.28 / $52.01	Professional	26	$19.26	$36.28	$52.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.85 / $41.54 / $75.94	Professional	TC	$29.85	$41.54	$75.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.28 / $36.28 / $44.85	Facility	26	$36.28	$36.28	$44.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $80.90 / $127.59	Professional		$49.82	$80.90	$127.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $36.28 / $41.77	Professional	26	$25.18	$36.28	$41.77
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.85 / $41.54 / $69.73	Professional	TC	$29.85	$41.54	$69.73
United Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $59.33 / $99.90	Professional		$48.34	$59.33	$99.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $25.26 / $42.70	Professional	26	$20.28	$25.26	$42.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $34.17 / $78.54	Professional	TC	$24.18	$34.17	$78.54