Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $402.57 / $755.46	Professional		$365.98	$402.57	$755.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.18 / $86.58 / $191.70	Professional	26	$78.18	$86.58	$191.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $315.54 / $623.53	Professional	TC	$284.67	$315.54	$623.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $699.31 / $699.31	Professional		$132.50	$699.31	$699.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $157.50	Facility	26	$132.50	$132.50	$157.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.32 / $629.38 / $1,943.74	Professional		$308.32	$629.38	$1,943.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.13 / $119.25 / $358.25	Professional	26	$86.13	$119.25	$358.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.01 / $510.13 / $1,585.49	Professional	TC	$210.01	$510.13	$1,585.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $157.50	Facility	26	$132.50	$132.50	$157.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.49 / $680.83 / $1,015.99	Professional		$411.49	$680.83	$1,015.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.78 / $119.25 / $152.47	Professional	26	$70.78	$119.25	$152.47
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $216.31 / $510.13 / $668.72	Professional	TC	$216.31	$510.13	$668.72
United Facility/Professional Professional Modifier Low / Median / High Price $442.17 / $657.25 / $788.70	Professional		$442.17	$657.25	$788.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $119.52 / $144.11 / $179.72	Professional	26	$119.52	$144.11	$179.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $365.40 / $516.41 / $616.08	Professional	TC	$365.40	$516.41	$616.08