Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $40.74 / $154.00	Professional		$35.31	$40.74	$154.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $14.52 / $40.11	Professional	26	$12.37	$14.52	$40.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.20 / $25.10 / $43.20	Professional	TC	$21.20	$25.10	$43.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $61.52 / $61.52	Professional		$22.08	$61.52	$61.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.08 / $22.08 / $26.25	Facility	26	$22.08	$22.08	$26.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $53.38 / $119.07	Professional		$38.27	$53.38	$119.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $19.87 / $42.77	Professional	26	$14.12	$19.87	$42.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $33.52 / $77.04	Professional	TC	$23.88	$33.52	$77.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.08 / $22.08 / $26.25	Facility	26	$22.08	$22.08	$26.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $68.02 / $101.53	Professional		$39.76	$68.02	$101.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $19.62 / $24.62	Professional	26	$13.82	$19.62	$24.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $33.52 / $41.62	Professional	TC	$22.42	$33.52	$41.62
United Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $63.27 / $72.59	Professional		$55.00	$63.27	$72.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $24.08 / $28.01	Professional	26	$19.73	$24.08	$28.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $39.04 / $45.53	Professional	TC	$33.32	$39.04	$45.53