Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $101.35 / $443.92	Professional		$82.81	$101.35	$443.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $26.70 / $116.40	Professional	26	$22.87	$26.70	$116.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $74.64 / $167.75	Professional	TC	$59.92	$74.64	$167.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $39.44 / $196.65	Professional		$39.44	$39.44	$196.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.44 / $39.44 / $48.75	Facility	26	$39.44	$39.44	$48.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $167.74 / $294.70	Professional		$82.61	$167.74	$294.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $39.43 / $61.67	Professional	26	$25.66	$39.43	$61.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.23 / $134.26 / $229.39	Professional	TC	$57.23	$134.26	$229.39
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $39.44 / $39.44 / $48.75	Facility	26	$39.44	$39.44	$48.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $209.52 / $320.12	Professional		$126.17	$209.52	$320.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.38 / $39.44 / $51.60	Professional	26	$25.38	$39.44	$51.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $59.00 / $157.21 / $179.90	Professional	TC	$59.00	$157.21	$179.90
United Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $131.37 / $230.71	Professional		$87.76	$131.37	$230.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $27.29 / $47.54	Professional	26	$27.07	$27.29	$47.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.47 / $104.30 / $183.17	Professional	TC	$60.47	$104.30	$183.17