Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $202.36 / $819.00	Professional		$183.96	$202.36	$819.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $23.91 / $69.23	Professional	26	$21.46	$23.91	$69.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $169.96 / $275.93	Professional	TC	$162.49	$169.96	$275.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $312.33	Professional		$58.89	$58.89	$312.33
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 $201.99 / $312.33 / $465.42	Professional		$201.99	$312.33	$465.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.62 / $58.89 / $85.97	Professional	26	$24.62	$58.89	$85.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.69 / $253.44 / $390.87	Professional	TC	$161.69	$253.44	$390.87
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 $207.15 / $344.54 / $531.01	Professional		$207.15	$344.54	$531.01
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $58.89 / $67.66	Professional	26	$40.29	$58.89	$67.66
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $203.12 / $253.44 / $300.60	Professional	TC	$203.12	$253.44	$300.60
United Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $343.97 / $410.25	Professional		$274.01	$343.97	$410.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.01 / $62.71 / $74.09	Professional	26	$39.01	$62.71	$74.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.19 / $272.02 / $368.64	Professional	TC	$239.19	$272.02	$368.64