Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $475.00 / $1,474.49	Professional		$249.52	$475.00	$1,474.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $140.00 / $200.20	Professional	26	$67.58	$140.00	$200.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.95 / $335.00 / $565.00	Professional	TC	$181.95	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $99.38 / $367.01	Professional		$99.38	$99.38	$367.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.38 / $99.38 / $122.85	Facility	26	$99.38	$99.38	$122.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.01 / $542.19 / $712.31	Professional		$367.01	$542.19	$712.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $99.38 / $156.61	Professional	26	$64.39	$99.38	$156.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.63 / $442.29 / $526.46	Professional	TC	$267.63	$442.29	$526.46
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $99.38 / $99.38 / $122.85	Facility	26	$99.38	$99.38	$122.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $400.84 / $593.29	Professional		$250.26	$400.84	$593.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $99.38 / $131.44	Professional	26	$64.39	$99.38	$131.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $267.63 / $378.10 / $473.17	Professional	TC	$267.63	$378.10	$473.17
United Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $403.70 / $535.29	Professional		$225.17	$403.70	$535.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.29 / $59.24 / $120.42	Professional	26	$58.29	$59.24	$120.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $299.20 / $479.13	Professional	TC	$166.88	$299.20	$479.13