Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $47.53 / $97.39	Professional		$43.79	$47.53	$97.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $28.51 / $98.00	Professional	26	$25.92	$28.51	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $18.67 / $58.84	Professional	TC	$17.87	$18.67	$58.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $94.12	Professional		$38.90	$38.90	$94.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $46.25	Facility	26	$38.90	$38.90	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $70.93 / $132.16	Professional		$44.97	$70.93	$132.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $37.36 / $58.94	Professional	26	$27.00	$37.36	$58.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.66 / $34.70 / $73.22	Professional	TC	$17.66	$34.70	$73.22
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $46.25	Facility	26	$38.90	$38.90	$46.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $89.78 / $149.18	Professional		$57.38	$89.78	$149.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $35.02 / $53.85	Professional	26	$23.42	$35.02	$53.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $26.97 / $55.21	Professional	TC	$14.51	$26.97	$55.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $85.13 / $104.89	Professional		$66.64	$85.13	$104.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.26 / $44.26 / $51.76	Professional	26	$38.26	$44.26	$51.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $43.12 / $53.13	Professional	TC	$26.10	$43.12	$53.13