Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $32.90 / $121.17	Professional		$28.35	$32.90	$121.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.10 / $9.31 / $34.00	Professional	26	$7.10	$9.31	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $23.57 / $42.49	Professional	TC	$22.57	$23.57	$42.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $39.44	Professional		$11.04	$11.04	$39.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.04 / $11.04 / $13.13	Facility	26	$11.04	$11.04	$13.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $45.40 / $61.87	Professional		$33.52	$45.40	$61.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $11.04 / $16.03	Professional	26	$8.56	$11.04	$16.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $33.17 / $47.45	Professional	TC	$24.13	$33.17	$47.45
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $11.04 / $11.04 / $13.13	Facility	26	$11.04	$11.04	$13.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $45.40 / $70.34	Professional		$26.64	$45.40	$70.34
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.04 / $12.53	Professional	26	$8.69	$11.04	$12.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $28.39 / $37.59	Professional	TC	$24.13	$28.39	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $44.25 / $53.75	Professional		$38.25	$44.25	$53.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.19 / $14.72	Professional	26	$10.31	$12.19	$14.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $31.86 / $49.95	Professional	TC	$26.51	$31.86	$49.95