Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $65.67 / $260.00	Professional		$43.78	$65.67	$260.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $14.33 / $54.00	Professional	26	$9.74	$14.33	$54.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.90 / $48.89 / $74.13	Professional	TC	$31.90	$48.89	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $61.52	Professional		$15.77	$15.77	$61.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.77 / $15.77 / $18.75	Facility	26	$15.77	$15.77	$18.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $71.29 / $156.90	Professional		$38.49	$71.29	$156.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.09 / $37.68	Professional	26	$10.23	$16.09	$37.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $54.91 / $119.23	Professional	TC	$28.26	$54.91	$119.23
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.77 / $15.77 / $18.75	Facility	26	$15.77	$15.77	$18.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $78.17 / $120.40	Professional		$46.72	$78.17	$120.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.77 / $21.69	Professional	26	$10.23	$15.77	$21.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $47.59 / $79.14	Professional	TC	$28.26	$47.59	$79.14
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $96.66 / $106.88	Professional		$78.48	$96.66	$106.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.41 / $21.46 / $26.24	Professional	26	$17.41	$21.46	$26.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.10 / $74.23 / $83.21	Professional	TC	$61.10	$74.23	$83.21