Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.67 / $475.00 / $1,753.31	Professional		$279.67	$475.00	$1,753.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $102.59 / $154.00	Professional	26	$73.00	$102.59	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $335.00 / $565.00	Professional	TC	$196.89	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.24 / $127.24 / $435.36	Professional		$127.24	$127.24	$435.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.24 / $127.24 / $157.30	Facility	26	$127.24	$127.24	$157.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.36 / $642.33 / $844.26	Professional		$435.36	$642.33	$844.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.91 / $127.24 / $202.97	Professional	26	$82.91	$127.24	$202.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $308.12 / $521.29 / $616.66	Professional	TC	$308.12	$521.29	$616.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $127.24 / $127.24 / $157.30	Facility	26	$127.24	$127.24	$157.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.93 / $476.26 / $704.76	Professional		$297.93	$476.26	$704.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $82.91 / $127.24 / $169.27	Professional	26	$82.91	$127.24	$169.27
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $308.12 / $432.62 / $526.71	Professional	TC	$308.12	$432.62	$526.71
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $445.74 / $778.85	Professional		$268.11	$445.74	$778.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.47 / $75.86 / $157.44	Professional	26	$75.47	$75.86	$157.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $364.23 / $481.78	Professional	TC	$192.64	$364.23	$481.78