Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $221.44 / $872.99	Professional		$54.62	$221.44	$872.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.25 / $54.62 / $236.00	Professional	26	$45.25	$54.62	$236.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.67 / $201.03 / $221.14	Professional	TC	$91.67	$201.03	$221.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $73.61 / $209.27	Professional		$73.61	$73.61	$209.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.61 / $73.61 / $91.00	Facility	26	$73.61	$73.61	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.27 / $285.29 / $409.61	Professional		$209.27	$285.29	$409.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $73.61 / $117.12	Professional	26	$52.25	$73.61	$117.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.66 / $208.94 / $288.52	Professional	TC	$135.66	$208.94	$288.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $73.61 / $73.61 / $91.00	Facility	26	$73.61	$73.61	$91.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $230.00 / $344.87	Professional		$140.55	$230.00	$344.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $73.61 / $98.48	Professional	26	$52.25	$73.61	$98.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $135.66 / $203.82 / $222.94	Professional	TC	$135.66	$203.82	$222.94
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $209.99 / $279.04	Professional		$133.75	$209.99	$279.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $47.96 / $90.89	Professional	26	$43.56	$47.96	$90.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $162.03 / $236.00	Professional	TC	$90.19	$162.03	$236.00