Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.53 / $475.00 / $1,594.30	Professional		$253.53	$475.00	$1,594.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.92 / $140.00 / $322.00	Professional	26	$71.92	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.61 / $335.00 / $565.00	Professional	TC	$181.61	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $110.94 / $399.61	Professional		$110.94	$110.94	$399.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.94 / $110.94 / $137.15	Facility	26	$110.94	$110.94	$137.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.08 / $573.36 / $848.42	Professional		$399.08	$573.36	$848.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.56 / $88.96 / $175.83	Professional	26	$57.56	$88.96	$175.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.14 / $480.69 / $575.02	Professional	TC	$288.14	$480.69	$575.02
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $110.94 / $110.94 / $137.15	Facility	26	$110.94	$110.94	$137.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $437.38 / $674.54	Professional		$270.24	$437.38	$674.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.56 / $110.94 / $127.99	Professional	26	$57.56	$110.94	$127.99
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $288.14 / $464.96 / $575.02	Professional	TC	$288.14	$464.96	$575.02
United Facility/Professional Professional Modifier Low / Median / High Price $237.43 / $448.91 / $615.33	Professional		$237.43	$448.91	$615.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.35 / $65.34 / $135.00	Professional	26	$52.35	$65.34	$135.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.09 / $319.76 / $514.29	Professional	TC	$172.09	$319.76	$514.29