Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $301.20 / $1,327.52	Professional		$203.67	$301.20	$1,327.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.23 / $128.50 / $176.08	Professional	26	$106.23	$128.50	$176.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.29 / $146.13 / $378.72	Professional	TC	$97.29	$146.13	$378.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $176.67 / $670.92	Professional		$176.67	$176.67	$670.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.67 / $176.67 / $218.40	Facility	26	$176.67	$176.67	$218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.10 / $670.92 / $1,093.16	Professional		$443.10	$670.92	$1,093.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.72 / $172.99 / $280.17	Professional	26	$116.72	$172.99	$280.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $318.77 / $494.25 / $824.09	Professional	TC	$318.77	$494.25	$824.09
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $176.67 / $176.67 / $218.40	Facility	26	$176.67	$176.67	$218.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.99 / $713.36 / $1,092.75	Professional		$427.99	$713.36	$1,092.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $116.72 / $176.67 / $233.82	Professional	26	$116.72	$176.67	$233.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $338.25 / $504.10 / $742.60	Professional	TC	$338.25	$504.10	$742.60
United Facility/Professional Professional Modifier Low / Median / High Price $353.54 / $415.73 / $851.82	Professional		$353.54	$415.73	$851.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.91 / $104.70 / $217.59	Professional	26	$95.91	$104.70	$217.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.63 / $311.02 / $636.33	Professional	TC	$257.63	$311.02	$636.33