Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $349.43 / $1,179.25	Professional		$176.73	$349.43	$1,179.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $71.18 / $306.74	Professional	26	$56.47	$71.18	$306.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.26 / $220.00 / $359.11	Professional	TC	$120.26	$220.00	$359.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $93.59 / $298.13	Professional		$93.59	$93.59	$298.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $93.59 / $115.70	Facility	26	$93.59	$93.59	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.79 / $380.23 / $569.52	Professional		$279.79	$380.23	$569.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.79 / $93.59 / $148.37	Professional	26	$67.79	$93.59	$148.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.91 / $290.31 / $399.93	Professional	TC	$194.91	$290.31	$399.93
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $93.59 / $115.70	Facility	26	$93.59	$93.59	$115.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $311.12 / $481.85	Professional		$186.66	$311.12	$481.85
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $67.79 / $93.59 / $138.29	Professional	26	$67.79	$93.59	$138.29
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $183.24 / $229.31 / $314.94	Professional	TC	$183.24	$229.31	$314.94
United Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $305.81 / $441.98	Professional		$175.77	$305.81	$441.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $62.38 / $114.08	Professional	26	$55.22	$62.38	$114.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.55 / $200.43 / $352.54	Professional	TC	$120.55	$200.43	$352.54