Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $286.12 / $512.34	Facility		$99.00	$286.12	$512.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $37.56 / $63.67	Professional		$30.91	$37.56	$63.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $14.31 / $61.20	Professional	26	$13.00	$14.31	$61.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $20.39 / $43.20	Professional	TC	$17.89	$20.39	$43.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $77,999.99 / $94,999.99	Facility		$160.40	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $60.47	Professional		$21.56	$21.56	$60.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $60.47 / $127.57	Facility		$33.57	$60.47	$127.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.56 / $21.56 / $26.65	Facility	26	$21.56	$21.56	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $52.96 / $73.73	Professional		$34.47	$52.96	$73.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $21.56 / $29.90	Professional	26	$15.37	$21.56	$29.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $28.52 / $43.92	Professional	TC	$18.32	$28.52	$43.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $60.45 / $72.29	Facility		$37.18	$60.45	$72.29
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $21.56 / $21.56 / $26.65	Facility	26	$21.56	$21.56	$26.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $60.47 / $90.98	Professional		$37.85	$60.47	$90.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.56 / $24.44	Professional	26	$16.98	$21.56	$24.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $28.52 / $38.90	Professional	TC	$20.20	$28.52	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $37.17 / $65.28	Professional		$34.29	$37.17	$65.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $15.51 / $25.99	Professional	26	$14.80	$15.51	$25.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $22.37 / $37.81	Professional	TC	$18.43	$22.37	$37.81