Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $259.57 / $983.61	Professional		$173.66	$259.57	$983.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $73.51 / $216.64	Professional	26	$57.10	$73.51	$216.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.83 / $201.03 / $372.70	Professional	TC	$108.83	$201.03	$372.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $95.17 / $257.12	Professional		$95.17	$95.17	$257.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.17 / $95.17 / $117.65	Facility	26	$95.17	$95.17	$117.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.12 / $313.57 / $497.53	Professional		$257.12	$313.57	$497.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $95.04 / $149.22	Professional	26	$61.35	$95.04	$149.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.94 / $235.65 / $371.69	Professional	TC	$161.94	$235.65	$371.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $95.17 / $95.17 / $117.65	Facility	26	$95.17	$95.17	$117.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $281.47 / $423.72	Professional		$172.45	$281.47	$423.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $95.17 / $125.20	Professional	26	$61.35	$95.17	$125.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $161.94 / $233.00 / $279.62	Professional	TC	$161.94	$233.00	$279.62
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $261.08 / $360.97	Professional		$173.02	$261.08	$360.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $56.10 / $114.71	Professional	26	$55.52	$56.10	$114.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $204.25 / $251.21	Professional	TC	$117.50	$204.25	$251.21