Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $40.95 / $80.20	Professional		$37.79	$40.95	$80.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $23.48 / $34.32	Professional	26	$21.23	$23.48	$34.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $17.17 / $53.05	Professional	TC	$16.44	$17.17	$53.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $27.34 / $76.77	Professional		$27.34	$27.34	$76.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $27.34 / $32.50	Facility	26	$27.34	$27.34	$32.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.78 / $107.44	Professional		$38.02	$58.78	$107.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $27.34 / $44.27	Professional	26	$19.12	$27.34	$44.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $32.49 / $65.73	Professional	TC	$16.07	$32.49	$65.73
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $27.34 / $32.50	Facility	26	$27.34	$27.34	$32.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $73.77 / $122.57	Professional		$46.50	$73.77	$122.57
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $25.91 / $39.97	Professional	26	$17.39	$25.91	$39.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $12.93 / $24.03 / $49.43	Professional	TC	$12.93	$24.03	$49.43
United Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $69.12 / $80.52	Professional		$54.06	$69.12	$80.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.03 / $31.80 / $42.26	Professional	26	$27.03	$31.80	$42.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $39.33 / $48.31	Professional	TC	$24.35	$39.33	$48.31