Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.69 / $475.00 / $2,241.55	Professional		$347.69	$475.00	$2,241.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.20 / $140.00 / $322.00	Professional	26	$85.20	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.49 / $335.00 / $565.00	Professional	TC	$262.49	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $131.44 / $548.41	Professional		$131.44	$131.44	$548.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.44 / $131.44 / $162.50	Facility	26	$131.44	$131.44	$162.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.05 / $587.51 / $911.95	Professional		$525.05	$587.51	$911.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $131.44 / $208.14	Professional	26	$86.34	$131.44	$208.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $405.52 / $489.06 / $694.20	Professional	TC	$405.52	$489.06	$694.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $131.44 / $131.44 / $162.50	Facility	26	$131.44	$131.44	$162.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.53 / $571.01 / $884.93	Professional		$367.53	$571.01	$884.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $131.44 / $174.75	Professional	26	$86.34	$131.44	$174.75
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $405.52 / $477.06 / $626.47	Professional	TC	$405.52	$477.06	$626.47
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $501.79 / $688.30	Professional		$333.14	$501.79	$688.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $78.98 / $159.72	Professional	26	$77.31	$78.98	$159.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $422.81 / $671.44	Professional	TC	$255.83	$422.81	$671.44