Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.21 / $10.33 / $10.33	Facility	26	$5.21	$10.33	$10.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.21 / $6.58 / $22.90	Professional	26	$5.21	$6.58	$22.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.90 / $22.57 / $46.38	Professional	TC	$15.90	$22.57	$46.38
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 $81.76 / $105.45 / $174.51	Professional	TC	$81.76	$105.45	$174.51
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 $81.76 / $104.61 / $138.69	Professional	TC	$81.76	$104.61	$138.69
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 $70.38 / $70.38 / $92.68	Professional	TC	$70.38	$70.38	$92.68