Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.76 / $111.19 / $246.28	Facility		$50.76	$111.19	$246.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $944.40 / $944.40 / $944.40	Facility	26	$944.40	$944.40	$944.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $211.38 / $225.30 / $511.43	Facility	TC	$211.38	$225.30	$511.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $38.70 / $177.00	Professional		$20.75	$38.70	$177.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $9.72 / $42.23	Professional	26	$8.34	$9.72	$42.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.79 / $60.43	Professional	TC	$20.96	$24.79	$60.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.53 / $77,999.99 / $94,999.99	Facility		$220.53	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $13.67 / $56.26	Professional		$13.67	$13.67	$56.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $56.26 / $76.03	Facility		$43.74	$56.26	$76.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $42.59 / $42.59 / $52.65	Facility	TC	$42.59	$42.59	$52.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $44.35 / $77.19	Professional		$32.93	$44.35	$77.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.65 / $21.44	Professional	26	$10.19	$12.65	$21.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $32.03 / $54.85	Professional	TC	$22.73	$32.03	$54.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $52.10 / $76.03	Facility		$34.13	$52.10	$76.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.67 / $13.67 / $16.89	Facility	26	$13.67	$13.67	$16.89
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $42.59 / $42.59 / $52.65	Facility	TC	$42.59	$42.59	$52.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $56.26 / $89.67	Professional		$34.61	$56.26	$89.67
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.67 / $18.57	Professional	26	$10.19	$13.67	$18.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $40.96 / $46.74	Professional	TC	$22.73	$40.96	$46.74
United Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $35.01 / $61.48	Professional		$32.58	$35.01	$61.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $9.96 / $16.47	Professional	26	$9.38	$9.96	$16.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $25.63 / $45.45	Professional	TC	$22.91	$25.63	$45.45