Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $40.92 / $135.06	Professional		$33.99	$40.92	$135.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.05 / $4.38 / $15.16	Professional	26	$3.05	$4.38	$15.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.01 / $17.00 / $67.53	Professional	52	$14.01	$17.00	$67.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.51 / $34.75 / $63.65	Professional	TC	$31.51	$34.75	$63.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $36.81	Professional		$4.73	$4.73	$36.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.73 / $4.73 / $5.63	Facility	26	$4.73	$4.73	$5.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $43.07 / $113.08	Professional		$31.29	$43.07	$113.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.75 / $4.80 / $7.39	Professional	26	$3.75	$4.80	$7.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $37.25 / $107.98	Professional	TC	$27.26	$37.25	$107.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.73 / $4.73 / $5.63	Facility	26	$4.73	$4.73	$5.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $43.07 / $63.79	Professional		$24.89	$43.07	$63.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $3.75 / $4.75 / $5.82	Professional	26	$3.75	$4.75	$5.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $32.07 / $48.19	Professional	TC	$27.26	$32.07	$48.19
United Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $41.30 / $64.75	Professional		$35.70	$41.30	$64.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.24 / $5.32 / $6.61	Professional	26	$4.24	$5.32	$6.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $35.90 / $57.99	Professional	TC	$31.10	$35.90	$57.99