Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $129.60 / $411.00	Professional		$82.59	$129.60	$411.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $43.00 / $135.00	Professional	26	$27.64	$43.00	$135.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $68.43 / $117.35	Professional	TC	$54.95	$68.43	$117.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $47.85 / $127.77	Professional		$47.85	$47.85	$127.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.85 / $47.85 / $59.15	Facility	26	$47.85	$47.85	$59.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $127.77 / $183.69	Professional		$88.28	$127.77	$183.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $47.85 / $68.15	Professional	26	$32.22	$47.85	$68.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.05 / $79.92 / $115.43	Professional	TC	$56.05	$79.92	$115.43
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $47.85 / $47.85 / $59.15	Facility	26	$47.85	$47.85	$59.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $139.68 / $219.23	Professional		$85.52	$139.68	$219.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.57 / $47.85 / $55.61	Professional	26	$38.57	$47.85	$55.61
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $62.22 / $79.92 / $92.05	Professional	TC	$62.22	$79.92	$92.05
United Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $88.86 / $150.21	Professional		$85.53	$88.86	$150.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.45 / $33.20 / $58.31	Professional	26	$32.45	$33.20	$58.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $56.41 / $91.90	Professional	TC	$52.33	$56.41	$91.90