Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $6.40 / $26.46	Professional	26	$5.82	$6.40	$26.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $20.60 / $38.72	Professional	TC	$20.14	$20.60	$38.72
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 $82.58 / $109.79 / $173.36	Professional	TC	$82.58	$109.79	$173.36
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 $20.30 / $30.32 / $38.38	Professional	26	$20.30	$30.32	$38.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $66.93 / $97.52 / $121.99	Professional	TC	$66.93	$97.52	$121.99
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 $86.69 / $86.69 / $108.12	Professional	TC	$86.69	$86.69	$108.12