Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.99 / $464.43 / $1,876.56	Professional		$408.99	$464.43	$1,876.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.84 / $132.50 / $560.90	Professional	26	$53.84	$132.50	$560.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.65 / $331.93 / $1,315.67	Professional	TC	$207.65	$331.93	$1,315.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.58 / $164.58 / $577.33	Professional		$164.58	$164.58	$577.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.58 / $164.58 / $164.58	Facility	26	$164.58	$164.58	$164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.49 / $577.33 / $577.33	Professional		$358.49	$577.33	$577.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.19 / $164.58 / $201.85	Professional	26	$137.19	$164.58	$201.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.30 / $412.75 / $412.75	Professional	TC	$221.30	$412.75	$412.75
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $164.58 / $164.58 / $164.58	Facility	26	$164.58	$164.58	$164.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.85 / $512.16 / $770.00	Professional		$355.85	$512.16	$770.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $137.19 / $164.58 / $201.85	Professional	26	$137.19	$164.58	$201.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $221.30 / $412.75 / $412.75	Professional	TC	$221.30	$412.75	$412.75
United Facility/Professional Professional Modifier Low / Median / High Price $464.36 / $573.04 / $1,014.72	Professional		$464.36	$573.04	$1,014.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.03 / $184.81 / $287.68	Professional	26	$154.03	$184.81	$287.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $306.00 / $394.40 / $727.04	Professional	TC	$306.00	$394.40	$727.04