Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $235.72 / $259.52	Professional		$147.16	$235.72	$259.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $56.99 / $147.53	Professional	26	$48.86	$56.99	$147.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.07 / $76.58 / $464.91	Professional	52	$63.07	$76.58	$464.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.77 / $162.66 / $202.54	Professional	TC	$65.77	$162.66	$202.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.60 / $77,999.99 / $94,999.99	Facility		$808.60	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $127.77 / $236.61	Professional		$127.77	$127.77	$236.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $232.82 / $292.50	Facility		$133.94	$232.82	$292.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.77 / $127.77 / $157.94	Facility	26	$127.77	$127.77	$157.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $355.50 / $536.71	Professional		$211.48	$355.50	$536.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.20 / $83.97 / $206.54	Professional	26	$57.20	$83.97	$206.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.84 / $181.59 / $476.03	Professional	TC	$108.84	$181.59	$476.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $236.61 / $735.73	Facility		$134.97	$236.61	$735.73
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $127.77 / $127.77 / $157.94	Facility	26	$127.77	$127.77	$157.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $254.91 / $389.93	Professional		$146.22	$254.91	$389.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.42 / $107.93 / $144.72	Professional	26	$57.42	$107.93	$144.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $108.84 / $141.86 / $310.23	Professional	TC	$108.84	$141.86	$310.23
United Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $245.38 / $296.31	Professional		$167.09	$245.38	$296.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.64 / $88.42 / $155.28	Professional	26	$57.64	$88.42	$155.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.67 / $119.89 / $188.79	Professional	TC	$78.67	$119.89	$188.79