Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $55.83 / $250.66	Professional		$49.17	$55.83	$250.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $14.66 / $45.00	Professional	26	$13.50	$14.66	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $40.50 / $76.39	Professional	TC	$35.56	$40.50	$76.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Professional		$84.13	$84.13	$84.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.08 / $22.08 / $27.30	Facility	26	$22.08	$22.08	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $79.34 / $126.40	Professional		$58.67	$79.34	$126.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $21.77 / $34.53	Professional	26	$16.52	$21.77	$34.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.08 / $59.40 / $89.76	Professional	TC	$42.08	$59.40	$89.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.08 / $22.08 / $27.30	Facility	26	$22.08	$22.08	$27.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $84.13 / $129.88	Professional		$51.69	$84.13	$129.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $22.08 / $29.54	Professional	26	$16.28	$22.08	$29.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $40.84 / $62.04 / $78.87	Professional	TC	$40.84	$62.04	$78.87
United Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $42.53 / $95.06	Professional		$39.51	$42.53	$95.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $11.58 / $26.62	Professional	26	$11.07	$11.58	$26.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $30.95 / $68.44	Professional	TC	$28.44	$30.95	$68.44