Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $65.70 / $135.71	Professional		$61.64	$65.70	$135.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $16.30 / $30.74	Professional	26	$15.61	$16.30	$30.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $50.21 / $109.00	Professional	TC	$46.00	$50.21	$109.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $26.82 / $125.67	Professional		$26.82	$26.82	$125.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.82 / $26.82 / $33.15	Facility	26	$26.82	$26.82	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $95.38 / $177.38	Professional		$68.66	$95.38	$177.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $23.44 / $42.78	Professional	26	$18.94	$23.44	$42.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.72 / $70.09 / $132.78	Professional	TC	$49.72	$70.09	$132.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.82 / $26.82 / $33.15	Facility	26	$26.82	$26.82	$33.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $125.14 / $198.61	Professional		$77.45	$125.14	$198.61
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $26.82 / $34.40	Professional	26	$18.94	$26.82	$34.40
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $49.72 / $96.00 / $107.90	Professional	TC	$49.72	$96.00	$107.90
United Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $79.76 / $140.07	Professional		$68.03	$79.76	$140.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $18.77 / $33.29	Professional	26	$17.89	$18.77	$33.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.13 / $60.99 / $107.11	Professional	TC	$50.13	$60.99	$107.11