Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $39.02 / $156.40	Professional		$28.21	$39.02	$156.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $47.07 / $47.07	Professional	25	$37.15	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $9.77 / $35.00	Professional	26	$7.90	$9.77	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $28.33 / $42.91	Professional	TC	$19.82	$28.33	$42.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $43.12	Professional		$12.62	$12.62	$43.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $12.62 / $15.00	Facility	26	$12.62	$12.62	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $43.50 / $93.60	Professional		$26.77	$43.50	$93.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $11.36 / $24.52	Professional	26	$8.17	$11.36	$24.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $31.98 / $69.08	Professional	TC	$18.78	$31.98	$69.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $12.62 / $15.00	Facility	26	$12.62	$12.62	$15.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $47.70 / $77.19	Professional		$32.11	$47.70	$77.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $11.26 / $14.07	Professional	26	$7.89	$11.26	$14.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $30.50 / $45.72	Professional	TC	$18.60	$30.50	$45.72
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $57.12 / $67.00	Professional		$47.00	$57.12	$67.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $13.82 / $16.07	Professional	26	$11.28	$13.82	$16.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $44.08 / $51.81	Professional	TC	$35.72	$44.08	$51.81