Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.61 / $184.83	Professional		$34.85	$42.61	$184.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $13.55 / $31.28	Professional	26	$12.59	$13.55	$31.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.64 / $23.43 / $126.95	Professional	52	$18.64	$23.43	$126.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $26.19 / $55.94	Professional	TC	$22.26	$26.19	$55.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $71.51	Professional		$20.51	$20.51	$71.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.51 / $20.51 / $25.35	Facility	26	$20.51	$20.51	$25.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $58.17 / $95.58	Professional		$40.77	$58.17	$95.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $20.51 / $32.21	Professional	26	$13.03	$20.51	$32.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.73 / $34.92 / $63.36	Professional	TC	$26.73	$34.92	$63.36
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.51 / $20.51 / $25.35	Facility	26	$20.51	$20.51	$25.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $71.51 / $113.13	Professional		$43.87	$71.51	$113.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $20.77 / $29.75	Professional	26	$13.10	$20.77	$29.75
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $35.76 / $55.97	Professional	TC	$25.97	$35.76	$55.97
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $44.75 / $124.88	Professional		$37.61	$44.75	$124.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $14.75 / $24.71	Professional	26	$14.07	$14.75	$24.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $30.68 / $53.88	Professional	TC	$22.86	$30.68	$53.88