Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $42.57 / $74.64	Professional		$35.31	$42.57	$74.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $12.36 / $18.69	Professional	26	$10.49	$12.36	$18.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $30.40 / $55.94	Professional	TC	$24.81	$30.40	$55.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $18.93 / $69.93	Professional		$18.93	$18.93	$69.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.93 / $18.93 / $22.50	Facility	26	$18.93	$18.93	$22.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $59.44 / $135.71	Professional		$42.59	$59.44	$135.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $17.04 / $36.61	Professional	26	$12.28	$17.04	$36.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $42.90 / $99.71	Professional	TC	$29.89	$42.90	$99.71
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.93 / $18.93 / $22.50	Facility	26	$18.93	$18.93	$22.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $70.64 / $110.72	Professional		$43.96	$70.64	$110.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $16.37 / $21.10	Professional	26	$11.84	$16.37	$21.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.81 / $42.90 / $53.08	Professional	TC	$28.81	$42.90	$53.08
United Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $67.84 / $79.36	Professional		$56.35	$67.84	$79.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $20.89 / $24.48	Professional	26	$18.00	$20.89	$24.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.14 / $46.61 / $75.86	Professional	TC	$40.14	$46.61	$75.86