Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $209.86 / $864.00	Professional		$190.78	$209.86	$864.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $39.32 / $115.00	Professional	26	$28.30	$39.32	$115.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $172.93 / $259.95	Professional	TC	$162.49	$172.93	$259.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $299.70	Professional		$58.89	$58.89	$299.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $70.00	Facility	26	$58.89	$58.89	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.09 / $299.70 / $429.69	Professional		$223.09	$299.70	$429.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $58.89 / $86.82	Professional	26	$31.50	$58.89	$86.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.18 / $240.82 / $342.87	Professional	TC	$188.18	$240.82	$342.87
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $70.00	Facility	26	$58.89	$58.89	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.89 / $332.32 / $517.54	Professional		$201.89	$332.32	$517.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $58.89 / $67.75	Professional	26	$40.78	$58.89	$67.75
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $196.39 / $240.82 / $290.64	Professional	TC	$196.39	$240.82	$290.64
United Facility/Professional Professional Modifier Low / Median / High Price $275.54 / $332.45 / $415.37	Professional		$275.54	$332.45	$415.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.32 / $63.28 / $74.58	Professional	26	$49.32	$63.28	$74.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.02 / $266.22 / $360.95	Professional	TC	$230.02	$266.22	$360.95