Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $56.12 / $99.27	Professional		$51.56	$56.12	$99.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $18.63 / $54.00	Professional	26	$11.24	$18.63	$54.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.88 / $25.92 / $144.32	Professional	52	$20.88	$25.92	$144.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $43.17 / $77.70	Professional	TC	$37.65	$43.17	$77.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $88.33	Professional		$18.39	$18.39	$88.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $21.88	Facility	26	$18.39	$18.39	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $75.08 / $171.54	Professional		$54.14	$75.08	$171.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $16.55 / $35.75	Professional	26	$11.95	$16.55	$35.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.20 / $59.44 / $136.56	Professional	TC	$42.20	$59.44	$136.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $21.88	Facility	26	$18.39	$18.39	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $97.21 / $144.66	Professional		$58.42	$97.21	$144.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $16.37 / $20.52	Professional	26	$11.52	$16.37	$20.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $42.18 / $59.44 / $73.79	Professional	TC	$42.18	$59.44	$73.79
United Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $89.10 / $102.70	Professional		$75.51	$89.10	$102.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $20.30 / $23.45	Professional	26	$17.14	$20.30	$23.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.85 / $68.31 / $79.29	Professional	TC	$56.85	$68.31	$79.29