Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.82 / $475.00 / $2,327.40	Professional		$372.82	$475.00	$2,327.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.55 / $154.00 / $547.00	Professional	26	$104.55	$154.00	$547.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.13 / $335.00 / $1,242.74	Professional	TC	$264.13	$335.00	$1,242.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $161.94 / $548.41	Professional		$161.94	$161.94	$548.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.94 / $161.94 / $200.20	Facility	26	$161.94	$161.94	$200.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.41 / $827.60 / $1,157.33	Professional		$548.41	$827.60	$1,157.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.94 / $161.94 / $255.24	Professional	26	$107.94	$161.94	$255.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $386.46 / $639.04 / $1,042.09	Professional	TC	$386.46	$639.04	$1,042.09
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $161.94 / $161.94 / $200.20	Facility	26	$161.94	$161.94	$200.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.04 / $599.05 / $906.66	Professional		$375.04	$599.05	$906.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $107.94 / $161.94 / $219.43	Professional	26	$107.94	$161.94	$219.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $386.46 / $525.82 / $866.90	Professional	TC	$386.46	$525.82	$866.90
United Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $638.59 / $815.55	Professional		$337.75	$638.59	$815.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $111.88 / $286.75	Professional	26	$95.10	$111.88	$286.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.65 / $435.05 / $694.66	Professional	TC	$242.65	$435.05	$694.66