Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $176.86 / $349.75	Professional		$93.21	$176.86	$349.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.26 / $66.15 / $180.00	Professional	26	$42.26	$66.15	$180.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.71 / $52.83 / $305.94	Professional	52	$42.71	$52.83	$305.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.82 / $117.78 / $191.20	Professional	TC	$46.82	$117.78	$191.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $67.83 / $148.80	Professional		$67.83	$67.83	$148.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.83 / $67.83 / $80.63	Facility	26	$67.83	$67.83	$80.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $211.43 / $282.55	Professional		$133.91	$211.43	$282.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.70 / $84.89 / $108.78	Professional	26	$50.70	$84.89	$108.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.87 / $119.01 / $180.55	Professional	TC	$72.87	$119.01	$180.55
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $67.83 / $67.83 / $80.63	Facility	26	$67.83	$67.83	$80.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $168.98 / $245.47	Professional		$94.64	$168.98	$245.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.09 / $67.83 / $108.78	Professional	26	$44.09	$67.83	$108.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $52.63 / $115.27 / $180.55	Professional	TC	$52.63	$115.27	$180.55
United Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $209.16 / $320.16	Professional		$158.41	$209.16	$320.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.28 / $81.12 / $129.35	Professional	26	$65.28	$81.12	$129.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.97 / $128.04 / $197.39	Professional	TC	$96.97	$128.04	$197.39