Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $35.32 / $144.90	Professional		$31.81	$35.32	$144.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $23.85 / $87.20	Professional	26	$21.44	$23.85	$87.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.67 / $15.91 / $88.74	Professional	52	$13.67	$15.91	$88.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $11.64 / $21.76	Professional	TC	$9.92	$11.64	$21.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $53.63	Professional		$34.18	$34.18	$53.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.18 / $34.18 / $40.63	Facility	26	$34.18	$34.18	$40.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $45.59 / $102.82	Professional		$33.79	$45.59	$102.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $30.42 / $66.40	Professional	26	$22.18	$30.42	$66.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.74 / $15.95 / $37.89	Professional	TC	$11.74	$15.95	$37.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $34.18 / $34.18 / $40.63	Facility	26	$34.18	$34.18	$40.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $59.17 / $88.05	Professional		$35.68	$59.17	$88.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $30.42 / $48.03	Professional	26	$21.39	$30.42	$48.03
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $11.61 / $15.95 / $23.65	Professional	TC	$11.61	$15.95	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $55.11 / $63.66	Professional		$46.56	$55.11	$63.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.86 / $37.71 / $43.55	Professional	26	$31.86	$37.71	$43.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $17.71 / $20.80	Professional	TC	$14.70	$17.71	$20.80