Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $28.39 / $74.34	Professional		$26.23	$28.39	$74.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $15.12 / $26.89	Professional	26	$13.75	$15.12	$26.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $13.01 / $51.90	Professional	TC	$12.47	$13.01	$51.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $70.98	Professional		$22.61	$22.61	$70.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $26.88	Facility	26	$22.61	$22.61	$26.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $49.83 / $100.30	Professional		$29.03	$49.83	$100.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $21.43 / $34.57	Professional	26	$15.71	$21.43	$34.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $29.82 / $65.73	Professional	TC	$13.32	$29.82	$65.73
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $22.61 / $26.88	Facility	26	$22.61	$22.61	$26.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $68.80 / $114.21	Professional		$42.50	$68.80	$114.21
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $20.35 / $25.21	Professional	26	$13.43	$20.35	$25.21
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $12.24 / $24.62 / $48.37	Professional	TC	$12.24	$24.62	$48.37
United Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $63.84 / $78.66	Professional		$43.89	$63.84	$78.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $25.52 / $29.93	Professional	26	$20.68	$25.52	$29.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $39.20 / $48.29	Professional	TC	$19.37	$39.20	$48.29