Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.01 / $39.11	Professional		$19.95	$29.01	$39.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.84 / $3.91 / $6.78	Professional	26	$2.84	$3.91	$6.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.98 / $10.86 / $58.96	Professional	52	$9.98	$10.86	$58.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $25.10 / $34.51	Professional	TC	$17.69	$25.10	$34.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $77,999.99 / $94,999.99	Facility		$124.57	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $36.81	Professional		$4.73	$4.73	$36.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.71 / $43.75 / $57.43	Facility		$32.71	$43.75	$57.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.73 / $4.73 / $5.63	Facility	26	$4.73	$4.73	$5.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $41.05 / $51.59	Professional		$27.16	$41.05	$51.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.19 / $6.02 / $11.95	Professional	26	$4.19	$6.02	$11.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.88 / $32.07 / $39.85	Professional	TC	$22.88	$32.07	$39.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $51.87 / $71.50	Facility		$21.72	$51.87	$71.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.73 / $4.73 / $5.63	Facility	26	$4.73	$4.73	$5.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $36.67 / $55.30	Professional		$22.76	$36.67	$55.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $4.26 / $5.24 / $7.11	Professional	26	$4.26	$5.24	$7.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $29.31 / $39.85	Professional	TC	$19.23	$29.31	$39.85
United Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $36.59 / $63.82	Professional		$30.75	$36.59	$63.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.59 / $5.41 / $17.27	Professional	26	$4.59	$5.41	$17.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $31.27 / $50.56	Professional	TC	$25.98	$31.27	$50.56