Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $38.47 / $95.26	Professional		$30.94	$38.47	$95.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.49 / $32.22 / $32.32	Professional	26	$22.49	$32.22	$32.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.47 / $18.97 / $19.23	Professional	52	$15.47	$18.97	$19.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.46 / $6.17 / $72.53	Professional	TC	$4.46	$6.17	$72.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $38.38 / $45.22	Professional		$38.38	$38.38	$45.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.38 / $38.38 / $38.38	Facility	26	$38.38	$38.38	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $38.44 / $45.69	Professional		$33.67	$38.44	$45.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.09 / $34.54 / $38.79	Professional	26	$29.09	$34.54	$38.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.81 / $5.15 / $6.84	Professional	TC	$2.81	$5.15	$6.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $38.38 / $38.38 / $38.38	Facility	26	$38.38	$38.38	$38.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $39.86 / $53.75	Professional		$27.82	$39.86	$53.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.61 / $34.54 / $38.38	Professional	26	$32.61	$34.54	$38.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $2.81 / $5.81 / $6.84	Professional	TC	$2.81	$5.81	$6.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $49.57 / $81.78	Professional		$39.49	$49.57	$81.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $40.32 / $45.63	Professional	26	$28.00	$40.32	$45.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.29 / $6.97 / $54.52	Professional	TC	$5.29	$6.97	$54.52