Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $132.12 / $521.24	Professional		$113.03	$132.12	$521.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $50.36 / $141.16	Professional	26	$29.75	$50.36	$141.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.28 / $103.70 / $414.00	Professional	TC	$83.28	$103.70	$414.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $50.48 / $166.15	Professional		$50.48	$50.48	$166.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.48 / $50.48 / $62.40	Facility	26	$50.48	$50.48	$62.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $166.15 / $239.85	Professional		$106.70	$166.15	$239.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $50.48 / $71.81	Professional	26	$34.47	$50.48	$71.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.37 / $115.68 / $168.04	Professional	TC	$67.37	$115.68	$168.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $50.48 / $50.48 / $62.40	Facility	26	$50.48	$50.48	$62.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $180.42 / $286.62	Professional		$110.48	$180.42	$286.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $50.48 / $58.62	Professional	26	$40.65	$50.48	$58.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.89 / $115.68 / $134.41	Professional	TC	$74.89	$115.68	$134.41
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $119.47 / $188.50	Professional		$111.52	$119.47	$188.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $35.09 / $61.48	Professional	26	$35.01	$35.09	$61.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.51 / $84.07 / $134.37	Professional	TC	$76.51	$84.07	$134.37