Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $156.85 / $179.45	Professional		$93.44	$156.85	$179.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $18.38 / $78.36	Professional	26	$15.71	$18.38	$78.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.80 / $129.36 / $161.07	Professional	TC	$48.80	$129.36	$161.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $71.51 / $151.96	Professional		$71.51	$71.51	$151.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.51 / $71.51 / $88.40	Facility	26	$71.51	$71.51	$88.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $228.31 / $481.90	Professional		$122.19	$228.31	$481.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $27.26 / $107.44	Professional	26	$17.55	$27.26	$107.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.45 / $146.52 / $463.30	Professional	TC	$80.45	$146.52	$463.30
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $71.51 / $71.51 / $88.40	Facility	26	$71.51	$71.51	$88.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $151.96 / $256.08	Professional		$94.14	$151.96	$256.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $29.68 / $78.47	Professional	26	$17.78	$29.68	$78.47
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $80.45 / $114.07 / $289.64	Professional	TC	$80.45	$114.07	$289.64
United Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $132.41 / $192.67	Professional		$109.71	$132.41	$192.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $49.80 / $87.46	Professional	26	$17.89	$49.80	$87.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.91 / $96.28 / $156.34	Professional	TC	$59.91	$96.28	$156.34