Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $144.90 / $267.42	Professional		$127.15	$144.90	$267.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.09 / $47.50 / $98.30	Professional	26	$37.09	$47.50	$98.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.06 / $94.50 / $200.77	Professional	TC	$83.06	$94.50	$200.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $256.06	Professional		$65.20	$65.20	$256.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.20 / $65.20 / $77.50	Facility	26	$65.20	$65.20	$77.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $143.83 / $256.06	Professional		$122.50	$143.83	$256.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.79 / $61.92 / $98.47	Professional	26	$42.79	$61.92	$98.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.34 / $97.81 / $190.87	Professional	TC	$70.34	$97.81	$190.87
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $65.20 / $65.20 / $77.50	Facility	26	$65.20	$65.20	$77.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $201.13 / $331.55	Professional		$129.33	$201.13	$331.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.38 / $65.80 / $97.96	Professional	26	$42.38	$65.80	$97.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $69.31 / $102.43 / $209.45	Professional	TC	$69.31	$102.43	$209.45
United Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $169.94 / $210.56	Professional		$140.63	$169.94	$210.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.21 / $70.77 / $79.31	Professional	26	$61.21	$70.77	$79.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.21 / $99.17 / $133.75	Professional	TC	$87.21	$99.17	$133.75