Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.07 / $20.09	Professional	26	$9.16	$10.07	$20.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $15.41 / $28.34	Professional	TC	$15.02	$15.41	$28.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.38 / $38.38 / $45.63	Facility	26	$38.38	$38.38	$45.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $34.54 / $57.45	Professional	26	$24.07	$34.54	$57.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.46 / $51.11 / $80.70	Professional	TC	$38.46	$51.11	$80.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $38.38 / $38.38 / $45.63	Facility	26	$38.38	$38.38	$45.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.79 / $30.32 / $38.38	Professional	26	$22.79	$30.32	$38.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.82 / $45.39 / $56.79	Professional	TC	$33.82	$45.39	$56.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $26.15 / $34.02	Professional	26	$26.15	$26.15	$34.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.52 / $40.52 / $50.33	Professional	TC	$40.52	$40.52	$50.33