Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	26	$85.00	$85.00	$85.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $106.74 / $106.74	Professional		$106.74	$106.74	$106.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $98.36 / $106.74	Professional		$98.36	$98.36	$106.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $34.34 / $38.38	Professional	26	$34.34	$34.34	$38.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.02 / $64.02 / $68.34	Professional	TC	$64.02	$64.02	$68.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $98.36 / $109.46	Professional		$65.67	$98.36	$109.46
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $34.34 / $38.38	Professional	26	$34.34	$34.34	$38.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $64.02 / $64.02 / $68.34	Professional	TC	$64.02	$64.02	$68.34
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $45.11 / $82.58	Professional		$45.04	$45.11	$82.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $16.67 / $30.57	Professional	26	$12.89	$16.67	$30.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $32.22 / $52.01	Professional	TC	$28.37	$32.22	$52.01