Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $63.02 / $195.37	Professional		$53.96	$63.02	$195.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $19.77 / $71.84	Professional	26	$17.67	$19.77	$71.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.29 / $43.42 / $123.52	Professional	TC	$36.29	$43.42	$123.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $32.60 / $103.06	Professional		$32.60	$32.60	$103.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.60 / $32.60 / $40.29	Facility	26	$32.60	$32.60	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $103.06 / $154.84	Professional		$64.61	$103.06	$154.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.80 / $32.60 / $51.85	Professional	26	$21.80	$32.60	$51.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.09 / $66.93 / $101.94	Professional	TC	$42.09	$66.93	$101.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.60 / $32.60 / $40.29	Facility	26	$32.60	$32.60	$40.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $104.18 / $163.41	Professional		$63.21	$104.18	$163.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $32.60 / $44.07	Professional	26	$21.92	$32.60	$44.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $40.03 / $68.59 / $100.11	Professional	TC	$40.03	$68.59	$100.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $67.48 / $113.92	Professional		$64.23	$67.48	$113.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $23.27 / $39.94	Professional	26	$22.74	$23.27	$39.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $44.25 / $72.88	Professional	TC	$41.50	$44.25	$72.88