Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $73.09 / $116.31	Professional		$66.95	$73.09	$116.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.21 / $48.84 / $61.84	Professional	26	$44.21	$48.84	$61.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $23.57 / $61.17	Professional	TC	$22.57	$23.57	$61.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $55.73 / $113.05	Professional		$55.73	$55.73	$113.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $55.73 / $66.25	Facility	26	$55.73	$55.73	$66.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $96.09 / $160.24	Professional		$68.66	$96.09	$160.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.89 / $55.73 / $95.99	Professional	26	$38.89	$55.73	$95.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $40.22 / $75.45	Professional	TC	$20.14	$40.22	$75.45
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $55.73 / $66.25	Facility	26	$55.73	$55.73	$66.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $107.25 / $178.99	Professional		$69.34	$107.25	$178.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $50.16 / $84.29	Professional	26	$35.95	$50.16	$84.29
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $32.01 / $57.31	Professional	TC	$17.32	$32.01	$57.31
United Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $110.33 / $201.64	Professional		$95.37	$110.33	$201.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.30 / $63.14 / $85.12	Professional	26	$50.30	$63.14	$85.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.35 / $44.79 / $55.19	Professional	TC	$31.35	$44.79	$55.19