Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.86 / $95.86 / $95.86	Facility	26	$95.86	$95.86	$95.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $346.89 / $383.87 / $533.19	Professional	TC	$346.89	$383.87	$533.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $378.70 / $510.42 / $785.53	Professional	TC	$378.70	$510.42	$785.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $368.64 / $493.95 / $716.36	Professional	TC	$368.64	$493.95	$716.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $465.26 / $564.96 / $910.86	Professional	TC	$465.26	$564.96	$910.86