Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $35.90 / $159.00	Professional		$28.48	$35.90	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $13.91 / $19.11	Professional	26	$9.97	$13.91	$19.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.51 / $21.58 / $34.51	Professional	TC	$18.51	$21.58	$34.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $48.37 / $48.37	Professional		$48.37	$48.37	$48.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $16.30 / $19.38	Facility	26	$16.30	$16.30	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $47.89 / $74.55	Professional		$38.50	$47.89	$74.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.72 / $17.86 / $28.07	Professional	26	$15.72	$17.86	$28.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.02 / $30.02 / $48.19	Professional	TC	$23.02	$30.02	$48.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $16.30 / $19.38	Facility	26	$16.30	$16.30	$19.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $49.96 / $74.55	Professional		$29.58	$49.96	$74.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $19.16 / $24.49	Professional	26	$14.92	$19.16	$24.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $32.07 / $45.94	Professional	TC	$22.57	$32.07	$45.94
United Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $60.89 / $71.39	Professional		$49.34	$60.89	$71.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.62 / $23.21 / $26.25	Professional	26	$19.62	$23.21	$26.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $36.38 / $41.58	Professional	TC	$28.60	$36.38	$41.58