Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.29 / $38.29 / $38.29	Facility	26	$38.29	$38.29	$38.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $97.90 / $228.23	Professional		$40.65	$97.90	$228.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $9.92 / $46.00	Professional	26	$9.31	$9.92	$46.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.37 / $77.73 / $96.77	Professional	TC	$27.37	$77.73	$96.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $61.52	Professional		$14.72	$14.72	$61.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $88.12 / $127.17	Professional		$54.12	$88.12	$127.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $14.72 / $23.13	Professional	26	$10.48	$14.72	$23.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $68.65 / $115.76	Professional	TC	$40.54	$68.65	$115.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $67.51 / $98.84	Professional		$37.88	$67.51	$98.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $14.72 / $19.94	Professional	26	$10.19	$14.72	$19.94
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $50.63 / $81.61	Professional	TC	$40.54	$50.63	$81.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $56.61 / $71.33	Professional		$29.24	$56.61	$71.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $8.08 / $17.75	Professional	26	$7.38	$8.08	$17.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $42.32 / $63.25	Professional	TC	$21.86	$42.32	$63.25