Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $58.02 / $156.60	Professional		$52.67	$58.02	$156.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $9.44 / $40.00	Professional	26	$7.45	$9.44	$40.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.59 / $27.99 / $152.36	Professional	52	$21.59	$27.99	$152.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.95 / $47.25 / $82.01	Professional	TC	$42.95	$47.25	$82.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $13.67 / $89.39	Professional		$13.67	$13.67	$89.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.25	Facility	26	$13.67	$13.67	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $77.23 / $174.07	Professional		$56.42	$77.23	$174.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $12.30 / $26.62	Professional	26	$8.86	$12.30	$26.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.56 / $64.36 / $148.13	Professional	TC	$47.56	$64.36	$148.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.25	Facility	26	$13.67	$13.67	$16.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $98.28 / $155.44	Professional		$60.64	$98.28	$155.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $12.19 / $15.24	Professional	26	$8.56	$12.19	$15.24
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $45.65 / $64.36 / $78.81	Professional	TC	$45.65	$64.36	$78.81
United Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $91.07 / $109.71	Professional		$74.73	$91.07	$109.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $14.82 / $17.16	Professional	26	$12.24	$14.82	$17.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.50 / $77.14 / $91.77	Professional	TC	$66.50	$77.14	$91.77