Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $45.87 / $213.00	Professional		$37.59	$45.87	$213.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $16.57 / $39.01	Professional	26	$13.93	$16.57	$39.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $29.29 / $53.95	Professional	TC	$23.51	$29.29	$53.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.76 / $74.14	Professional		$25.76	$25.76	$74.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.76 / $25.76 / $31.85	Facility	26	$25.76	$25.76	$31.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $61.55 / $100.00	Professional		$49.78	$61.55	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $24.67 / $39.38	Professional	26	$15.23	$24.67	$39.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.70 / $39.00 / $59.65	Professional	TC	$28.70	$39.00	$59.65
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.76 / $25.76 / $31.85	Facility	26	$25.76	$25.76	$31.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $74.14 / $118.16	Professional		$45.33	$74.14	$118.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $25.76 / $33.86	Professional	26	$14.77	$25.76	$33.86
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $34.59 / $53.08	Professional	TC	$27.06	$34.59	$53.08
United Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $46.56 / $81.77	Professional		$41.67	$46.56	$81.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $17.68 / $31.05	Professional	26	$16.47	$17.68	$31.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.70 / $28.88 / $50.72	Professional	TC	$24.70	$28.88	$50.72