Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.72 / $17.18 / $17.18	Facility	26	$8.72	$17.18	$17.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $10.47 / $22.90	Professional	26	$8.72	$10.47	$22.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $16.50 / $33.03	Professional	TC	$12.39	$16.50	$33.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $35.52 / $53.02	Professional	26	$26.95	$35.52	$53.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.07 / $49.10 / $81.23	Professional	TC	$38.07	$49.10	$81.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $34.29 / $46.56	Professional	26	$26.95	$34.29	$46.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $38.07 / $48.70 / $64.56	Professional	TC	$38.07	$48.70	$64.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.43 / $22.43 / $29.16	Professional	26	$22.43	$22.43	$29.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.88 / $32.88 / $43.14	Professional	TC	$32.88	$32.88	$43.14