Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $223.02 / $829.60	Facility		$223.02	$223.02	$829.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $132.79 / $584.25	Professional		$120.71	$132.79	$584.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $25.11 / $111.00	Professional	26	$18.44	$25.11	$111.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.26 / $106.95 / $189.87	Professional	TC	$102.26	$106.95	$189.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.30 / $77,999.99 / $94,999.99	Facility		$1,226.30	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $35.75 / $227.15	Professional		$35.75	$35.75	$227.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.51 / $270.00 / $731.54	Facility		$192.51	$270.00	$731.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.75 / $35.75 / $42.50	Facility	26	$35.75	$35.75	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.82 / $227.15 / $320.89	Professional		$178.82	$227.15	$320.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.94 / $35.75 / $53.49	Professional	26	$20.94	$35.75	$53.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.32 / $191.39 / $268.38	Professional	TC	$154.32	$191.39	$268.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $290.87 / $383.09	Facility		$185.66	$290.87	$383.09
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $35.75 / $35.75 / $42.50	Facility	26	$35.75	$35.75	$42.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $252.59 / $387.25	Professional		$151.07	$252.59	$387.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $35.75 / $41.32	Professional	26	$24.38	$35.75	$41.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $154.32 / $191.39 / $228.33	Professional	TC	$154.32	$191.39	$228.33
United Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $250.16 / $337.28	Professional		$208.11	$250.16	$337.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.43 / $38.64 / $44.85	Professional	26	$32.43	$38.64	$44.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.00 / $209.45 / $301.44	Professional	TC	$179.00	$209.45	$301.44