Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $56.32 / $109.75	Professional		$51.82	$56.32	$109.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.82 / $32.64 / $50.60	Professional	26	$31.82	$32.64	$50.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $20.19 / $61.73	Professional	TC	$19.32	$20.19	$61.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $47.85 / $105.69	Professional		$47.85	$47.85	$105.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.85 / $47.85 / $56.88	Facility	26	$47.85	$47.85	$56.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $82.07 / $147.87	Professional		$52.76	$82.07	$147.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $45.84 / $72.41	Professional	26	$33.20	$45.84	$72.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $39.11 / $75.45	Professional	TC	$19.23	$39.11	$75.45
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $47.85 / $47.85 / $56.88	Facility	26	$47.85	$47.85	$56.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $99.49 / $166.97	Professional		$64.30	$99.49	$166.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.74 / $43.07 / $68.73	Professional	26	$28.74	$43.07	$68.73
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.32 / $28.52 / $57.84	Professional	TC	$15.32	$28.52	$57.84
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $96.20 / $117.78	Professional		$74.20	$96.20	$117.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.92 / $54.28 / $64.41	Professional	26	$46.92	$54.28	$64.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.99 / $44.79 / $55.19	Professional	TC	$28.99	$44.79	$55.19