Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $162.21 / $221.87	Professional		$138.24	$162.21	$221.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $49.15 / $151.19	Professional	26	$42.14	$49.15	$151.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.92 / $117.54 / $152.69	Professional	TC	$89.92	$117.54	$152.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $70.45 / $211.37	Professional		$70.45	$70.45	$211.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.45 / $70.45 / $87.10	Facility	26	$70.45	$70.45	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $211.37 / $336.59	Professional		$156.90	$211.37	$336.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.59 / $70.45 / $113.20	Professional	26	$46.59	$70.45	$113.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.41 / $151.51 / $218.02	Professional	TC	$108.41	$151.51	$218.02
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $70.45 / $70.45 / $87.10	Facility	26	$70.45	$70.45	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $221.07 / $341.90	Professional		$132.86	$221.07	$341.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $46.59 / $70.45 / $94.84	Professional	26	$46.59	$70.45	$94.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $126.53 / $154.63 / $211.72	Professional	TC	$126.53	$154.63	$211.72
United Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $172.07 / $257.95	Professional		$124.85	$172.07	$257.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.03 / $42.63 / $86.83	Professional	26	$42.03	$42.63	$86.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.77 / $97.44 / $171.12	Professional	TC	$82.77	$97.44	$171.12