Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $66.00 / $101.68	Professional		$33.97	$66.00	$101.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $27.68 / $30.25	Professional	26	$15.24	$27.68	$30.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $38.32 / $73.04	Professional	TC	$18.73	$38.32	$73.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $32.07 / $74.14	Professional		$32.07	$32.07	$74.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $32.07 / $32.07	Facility	26	$32.07	$32.07	$32.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $66.73 / $74.91	Professional		$52.35	$66.73	$74.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.27 / $28.86 / $32.71	Professional	26	$24.27	$28.86	$32.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $36.61 / $42.50	Professional	TC	$28.08	$36.61	$42.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $32.07 / $32.07	Facility	26	$32.07	$32.07	$32.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $66.00 / $86.88	Professional		$44.00	$66.00	$86.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $28.86 / $32.40	Professional	26	$27.18	$28.86	$32.40
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $36.61 / $42.06	Professional	TC	$31.59	$36.61	$42.06
United Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $79.06 / $105.60	Professional		$62.98	$79.06	$105.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $35.96 / $39.65	Professional	26	$27.51	$35.96	$39.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.32 / $42.35 / $69.00	Professional	TC	$34.32	$42.35	$69.00