Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $56.56 / $279.00	Professional		$26.35	$56.56	$279.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $32.26 / $129.00	Professional	26	$17.17	$32.26	$129.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $11.47 / $81.20	Professional	TC	$9.18	$11.47	$81.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $99.90	Professional		$51.00	$51.00	$99.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.00 / $51.00 / $63.05	Facility	26	$51.00	$51.00	$63.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $71.62 / $124.48	Professional		$35.61	$71.62	$124.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $40.74 / $56.81	Professional	26	$23.68	$40.74	$56.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.45 / $39.50 / $68.56	Professional	TC	$11.45	$39.50	$68.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.00 / $51.00 / $63.05	Facility	26	$51.00	$51.00	$63.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $90.09 / $150.05	Professional		$58.53	$90.09	$150.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.13 / $41.03 / $51.00	Professional	26	$26.13	$41.03	$51.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $14.98 / $48.90 / $56.31	Professional	TC	$14.98	$48.90	$56.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $58.10 / $96.59	Professional		$32.82	$58.10	$96.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $24.90 / $43.73	Professional	26	$21.76	$24.90	$43.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.06 / $33.20 / $54.27	Professional	TC	$11.06	$33.20	$54.27