Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $167.18 / $524.25	Professional		$137.34	$167.18	$524.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $38.01 / $173.25	Professional	26	$32.57	$38.01	$173.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.76 / $130.44 / $171.99	Professional	TC	$104.76	$130.44	$171.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $55.73 / $232.40	Professional		$55.73	$55.73	$232.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $55.73 / $68.90	Facility	26	$55.73	$55.73	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $232.40 / $337.08	Professional		$127.64	$232.40	$337.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $55.73 / $79.20	Professional	26	$37.99	$55.73	$79.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.41 / $176.67 / $246.89	Professional	TC	$91.41	$176.67	$246.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $55.73 / $68.90	Facility	26	$55.73	$55.73	$68.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $257.24 / $403.43	Professional		$154.74	$257.24	$403.43
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.07 / $55.73 / $64.67	Professional	26	$42.07	$55.73	$64.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $115.82 / $176.67 / $211.05	Professional	TC	$115.82	$176.67	$211.05
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $159.16 / $279.51	Professional		$144.54	$159.16	$279.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.67 / $39.34 / $69.09	Professional	26	$38.67	$39.34	$69.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.45 / $119.82 / $210.42	Professional	TC	$105.45	$119.82	$210.42