Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $72.53 / $296.00	Professional		$68.06	$72.53	$296.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $30.25 / $78.00	Professional	26	$17.82	$30.25	$78.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $53.90 / $95.34	Professional	TC	$50.22	$53.90	$95.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $118.83 / $118.83	Professional		$118.83	$118.83	$118.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $32.07 / $32.07	Facility	26	$32.07	$32.07	$32.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $118.83	Professional		$67.55	$67.55	$118.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $32.07	Professional	26	$18.45	$18.45	$32.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $86.76	Professional	TC	$49.10	$49.10	$86.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $32.07 / $32.07	Facility	26	$32.07	$32.07	$32.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $90.25 / $118.83	Professional		$73.26	$90.25	$118.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $32.07 / $32.07	Professional	26	$18.45	$32.07	$32.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $86.76 / $86.76	Professional	TC	$49.10	$86.76	$86.76
United Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $122.96 / $137.16	Professional		$94.89	$122.96	$137.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $26.16 / $36.76	Professional	26	$24.89	$26.16	$36.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.48 / $84.70 / $112.00	Professional	TC	$69.48	$84.70	$112.00