Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $257.56 / $1,490.00	Professional		$229.62	$257.56	$1,490.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $44.37 / $213.00	Professional	26	$36.75	$44.37	$213.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $218.37 / $709.49	Professional	TC	$192.87	$218.37	$709.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $62.04 / $424.85	Professional		$62.04	$62.04	$424.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.04 / $62.04 / $76.70	Facility	26	$62.04	$62.04	$76.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.73 / $424.85 / $827.27	Professional		$214.73	$424.85	$827.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $62.04 / $117.95	Professional	26	$41.66	$62.04	$117.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.82 / $355.60 / $709.33	Professional	TC	$172.82	$355.60	$709.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $62.04 / $62.04 / $76.70	Facility	26	$62.04	$62.04	$76.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.69 / $384.51 / $518.76	Professional		$263.69	$384.51	$518.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.92 / $62.04 / $81.81	Professional	26	$41.92	$62.04	$81.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $172.82 / $355.60 / $438.75	Professional	TC	$172.82	$355.60	$438.75
United Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $264.43 / $546.33	Professional		$204.66	$264.43	$546.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $37.61 / $110.09	Professional	26	$36.83	$37.61	$110.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.05 / $227.31 / $469.64	Professional	TC	$167.05	$227.31	$469.64