Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $71.79 / $71.79	Professional		$35.21	$71.79	$71.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.85 / $11.34 / $11.34	Professional	26	$5.85	$11.34	$11.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $60.45 / $60.45	Professional	TC	$29.36	$60.45	$60.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $85.71	Professional		$13.15	$13.15	$85.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $82.31 / $98.83	Professional		$53.06	$82.31	$98.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.28 / $13.15 / $17.54	Professional	26	$9.28	$13.15	$17.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.77 / $68.59 / $81.31	Professional	TC	$43.77	$68.59	$81.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $77.14 / $85.73	Professional		$51.44	$77.14	$85.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $13.15 / $15.71	Professional	26	$11.84	$13.15	$15.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $65.30 / $68.59 / $76.23	Professional	TC	$65.30	$68.59	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $86.41 / $102.95	Professional		$70.19	$86.41	$102.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $15.01 / $17.41	Professional	26	$12.48	$15.01	$17.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.58 / $71.34 / $85.79	Professional	TC	$56.58	$71.34	$85.79