Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $118.80 / $152.10	Professional		$113.40	$118.80	$152.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $33.29 / $66.59	Professional	26	$10.98	$33.29	$66.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.78 / $65.78 / $78.58	Professional	TC	$65.78	$65.78	$78.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $17.35 / $67.83	Professional		$17.35	$17.35	$67.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $67.83 / $74.50	Professional		$67.83	$67.83	$74.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $17.35 / $19.21	Professional	26	$17.35	$17.35	$19.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.48 / $50.48 / $55.29	Professional	TC	$50.48	$50.48	$55.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $59.21 / $74.50	Professional		$41.79	$59.21	$74.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $17.35 / $19.21	Professional	26	$17.35	$17.35	$19.21
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $50.48 / $50.48 / $55.29	Professional	TC	$50.48	$50.48	$55.29
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.71 / $46.05	Professional		$25.12	$27.71	$46.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $7.15 / $13.10	Professional	26	$7.09	$7.15	$13.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $20.62 / $32.95	Professional	TC	$17.97	$20.62	$32.95