Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $475.00 / $1,303.14	Professional		$216.49	$475.00	$1,303.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.37 / $140.00 / $340.00	Professional	26	$71.37	$140.00	$340.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.74 / $335.00 / $565.00	Professional	TC	$142.74	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $107.79 / $317.58	Professional		$107.79	$107.79	$317.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.79 / $107.79 / $133.25	Facility	26	$107.79	$107.79	$133.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $497.28 / $615.10	Professional		$317.58	$497.28	$615.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.01 / $107.79 / $171.71	Professional	26	$70.01	$107.79	$171.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.79 / $389.31 / $509.72	Professional	TC	$209.79	$389.31	$509.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $107.79 / $107.79 / $133.25	Facility	26	$107.79	$107.79	$133.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $346.34 / $542.41	Professional		$215.56	$346.34	$542.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.06 / $107.79 / $141.72	Professional	26	$70.06	$107.79	$141.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $209.79 / $347.03 / $427.22	Professional	TC	$209.79	$347.03	$427.22
United Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $364.83 / $496.62	Professional		$194.49	$364.83	$496.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.30 / $63.94 / $191.49	Professional	26	$63.30	$63.94	$191.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.68 / $234.29 / $386.38	Professional	TC	$130.68	$234.29	$386.38