Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $44.02 / $77.63	Professional		$41.00	$44.02	$77.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.08 / $29.80	Professional	26	$10.76	$12.08	$29.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $31.21 / $57.68	Professional	TC	$28.03	$31.21	$57.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $70.45 / $70.45	Professional		$18.39	$70.45	$70.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $21.88	Facility	26	$18.39	$18.39	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $59.95 / $136.74	Professional		$43.53	$59.95	$136.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $16.55 / $35.75	Professional	26	$11.95	$16.55	$35.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.58 / $44.24 / $101.77	Professional	TC	$31.58	$44.24	$101.77
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $21.88	Facility	26	$18.39	$18.39	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $77.89 / $115.91	Professional		$46.07	$77.89	$115.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $16.37 / $20.52	Professional	26	$11.52	$16.37	$20.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.39 / $44.24 / $54.73	Professional	TC	$31.39	$44.24	$54.73
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $72.56 / $120.24	Professional		$61.50	$72.56	$120.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.45 / $20.30 / $23.45	Professional	26	$16.45	$20.30	$23.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.12 / $51.04 / $60.72	Professional	TC	$43.12	$51.04	$60.72