Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $42.82 / $92.50	Professional		$39.60	$42.82	$92.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $23.78 / $37.40	Professional	26	$21.35	$23.78	$37.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $19.05 / $61.17	Professional	TC	$18.23	$19.05	$61.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $31.55 / $88.33	Professional		$31.55	$31.55	$88.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.55 / $31.55 / $37.50	Facility	26	$31.55	$31.55	$37.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $63.90 / $122.00	Professional		$40.54	$63.90	$122.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $30.40 / $47.29	Professional	26	$22.22	$30.40	$47.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $35.43 / $74.70	Professional	TC	$18.19	$35.43	$74.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.55 / $31.55 / $37.50	Facility	26	$31.55	$31.55	$37.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $83.96 / $139.86	Professional		$54.11	$83.96	$139.86
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $28.40 / $42.10	Professional	26	$19.04	$28.40	$42.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.15 / $28.14 / $56.79	Professional	TC	$15.15	$28.14	$56.79
United Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $77.83 / $95.90	Professional		$57.68	$77.83	$95.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.39 / $35.39 / $42.00	Professional	26	$29.39	$35.39	$42.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $44.24 / $55.31	Professional	TC	$26.10	$44.24	$55.31