Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $61.17 / $81.53	Professional		$54.64	$61.17	$81.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $16.85 / $26.40	Professional	26	$15.05	$16.85	$26.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $44.32 / $55.13	Professional	TC	$38.79	$44.32	$55.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $22.08 / $69.41	Professional		$22.08	$22.08	$69.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.08 / $22.08 / $26.25	Facility	26	$22.08	$22.08	$26.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $69.41 / $115.53	Professional		$55.65	$69.41	$115.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $21.50 / $33.88	Professional	26	$15.79	$21.50	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.36 / $47.32 / $82.57	Professional	TC	$38.36	$47.32	$82.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.08 / $22.08 / $26.25	Facility	26	$22.08	$22.08	$26.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $70.30 / $113.70	Professional		$49.04	$70.30	$113.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $19.87 / $32.49	Professional	26	$13.43	$19.87	$32.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.11 / $45.39 / $81.98	Professional	TC	$34.11	$45.39	$81.98
United Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $86.14 / $100.74	Professional		$71.54	$86.14	$100.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.93 / $25.37 / $29.90	Professional	26	$21.93	$25.37	$29.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.53 / $60.77 / $71.06	Professional	TC	$52.53	$60.77	$71.06