Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $245.36 / $373.49	Professional		$209.81	$245.36	$373.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.30 / $27.92 / $50.40	Professional	26	$23.30	$27.92	$50.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.50 / $219.60 / $338.54	Professional	TC	$186.50	$219.60	$338.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $36.81 / $252.38	Professional		$36.81	$36.81	$252.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $43.75	Facility	26	$36.81	$36.81	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $252.38 / $354.44	Professional		$203.03	$252.38	$354.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.40 / $36.81 / $53.26	Professional	26	$25.40	$36.81	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.09 / $215.58 / $301.95	Professional	TC	$174.09	$215.58	$301.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $43.75	Facility	26	$36.81	$36.81	$43.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $284.60 / $425.89	Professional		$166.14	$284.60	$425.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.44 / $36.81 / $41.51	Professional	26	$25.44	$36.81	$41.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $174.09 / $215.58 / $257.62	Professional	TC	$174.09	$215.58	$257.62
United Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $273.86 / $389.77	Professional		$233.00	$273.86	$389.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $41.18 / $65.68	Professional	26	$35.34	$41.18	$65.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.66 / $232.65 / $344.33	Professional	TC	$197.66	$232.65	$344.33