Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $180.00	Professional		$117.00	$117.00	$180.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $30.60 / $43.20	Professional	26	$6.77	$30.60	$43.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.52 / $52.58	Professional		$10.52	$10.52	$52.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $52.38 / $52.58	Professional		$52.38	$52.38	$52.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $10.52 / $11.64	Professional	26	$10.52	$10.52	$11.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $42.06	Professional	TC	$40.74	$40.74	$42.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $45.13 / $52.58	Professional		$32.45	$45.13	$52.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $10.52 / $11.64	Professional	26	$10.52	$10.52	$11.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $42.06	Professional	TC	$40.74	$40.74	$42.06
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $19.76 / $54.01	Professional		$18.84	$19.76	$54.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.33 / $4.51 / $11.61	Professional	26	$4.33	$4.51	$11.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $15.25 / $26.60	Professional	TC	$14.51	$15.25	$26.60