Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $32.64 / $86.47	Professional		$29.85	$32.64	$86.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.50 / $31.67	Professional	26	$19.55	$21.50	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $10.75 / $54.79	Professional	TC	$10.31	$10.75	$54.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $32.07 / $83.60	Professional		$32.07	$32.07	$83.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $32.07 / $38.13	Facility	26	$32.07	$32.07	$38.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $60.96 / $116.68	Professional		$33.29	$60.96	$116.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $29.75 / $48.70	Professional	26	$21.91	$29.75	$48.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.56 / $31.77 / $67.98	Professional	TC	$10.56	$31.77	$67.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $32.07 / $38.13	Facility	26	$32.07	$32.07	$38.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $80.06 / $133.06	Professional		$51.02	$80.06	$133.06
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.35 / $28.86 / $36.34	Professional	26	$19.35	$28.86	$36.34
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $10.54 / $21.44 / $51.53	Professional	TC	$10.54	$21.44	$51.53
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $74.09 / $93.41	Professional		$50.16	$74.09	$93.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $35.97 / $42.79	Professional	26	$29.15	$35.97	$42.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $40.31 / $49.67	Professional	TC	$15.39	$40.31	$49.67