Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $78.20 / $225.00	Professional		$61.28	$78.20	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $42.58 / $162.22	Professional	26	$38.03	$42.58	$162.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $23.57 / $71.59	Professional	TC	$22.57	$23.57	$71.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $56.79 / $123.56	Professional		$56.79	$56.79	$123.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.79 / $56.79 / $67.50	Facility	26	$56.79	$56.79	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $96.72 / $175.32	Professional		$61.88	$96.72	$175.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $54.45 / $87.14	Professional	26	$39.75	$54.45	$87.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $43.54 / $88.18	Professional	TC	$22.00	$43.54	$88.18
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $56.79 / $56.79 / $67.50	Facility	26	$56.79	$56.79	$67.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $117.93 / $195.96	Professional		$75.20	$117.93	$195.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $51.11 / $80.52	Professional	26	$34.03	$51.11	$80.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $32.83 / $66.78	Professional	TC	$17.68	$32.83	$66.78
United Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $115.71 / $140.07	Professional		$90.20	$115.71	$140.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.10 / $64.91 / $75.91	Professional	26	$56.10	$64.91	$75.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $52.07 / $64.16	Professional	TC	$32.47	$52.07	$64.16