Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $53.25 / $255.00	Professional		$47.22	$53.25	$255.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.72 / $28.94 / $75.25	Professional	26	$24.72	$28.94	$75.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.11 / $54.11 / $54.11	Professional	52	$54.11	$54.11	$54.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $23.83 / $65.69	Professional	TC	$20.70	$23.83	$65.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $74.66 / $74.66	Professional		$74.66	$74.66	$74.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $44.17	Facility	26	$44.17	$44.17	$44.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $74.66 / $91.45	Professional		$39.28	$74.66	$91.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $44.17 / $49.83	Professional	26	$25.29	$44.17	$49.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $30.50 / $41.62	Professional	TC	$13.99	$30.50	$41.62
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $44.17	Facility	26	$44.17	$44.17	$44.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $76.18 / $132.40	Professional		$50.47	$76.18	$132.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $44.17 / $66.36	Professional	26	$25.29	$44.17	$66.36
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $30.50 / $45.82	Professional	TC	$13.99	$30.50	$45.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $64.09 / $98.24	Professional		$61.44	$64.09	$98.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $34.88 / $54.41	Professional	26	$33.47	$34.88	$54.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $29.21 / $44.36	Professional	TC	$27.78	$29.21	$44.36