Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $110.00 / $253.00	Professional		$40.90	$110.00	$253.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $74.81 / $89.47	Professional	26	$34.40	$74.81	$89.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.98 / $59.59 / $163.52	Professional	TC	$26.98	$59.59	$163.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.81 / $77,999.99 / $94,999.99	Facility		$266.81	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $57.31 / $101.48	Professional		$51.58	$57.31	$101.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $101.48 / $101.48	Facility		$101.48	$101.48	$101.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.31 / $57.31 / $57.31	Facility	26	$57.31	$57.31	$57.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $196.40 / $316.61	Professional		$101.48	$196.40	$316.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.31 / $75.81 / $152.51	Professional	26	$57.31	$75.81	$152.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $120.59 / $191.99	Professional	TC	$44.17	$120.59	$191.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $88.80 / $323.91	Facility		$60.28	$88.80	$323.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $57.31 / $57.31 / $57.31	Facility	26	$57.31	$57.31	$57.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $102.45 / $170.71	Professional		$64.17	$102.45	$170.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $49.38 / $63.31 / $128.62	Professional	26	$49.38	$63.31	$128.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $36.69 / $52.76 / $197.75	Professional	TC	$36.69	$52.76	$197.75
United Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $121.69 / $320.16	Professional		$97.92	$121.69	$320.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.10 / $69.72 / $127.02	Professional	26	$56.10	$69.72	$127.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.82 / $51.97 / $197.09	Professional	TC	$41.82	$51.97	$197.09