Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.69 / $170.34	Professional		$64.31	$98.69	$170.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $34.39 / $52.98	Professional	26	$31.19	$34.39	$52.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $67.28 / $117.35	Professional	TC	$33.03	$67.28	$117.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $53.11 / $164.05	Professional		$53.11	$53.11	$164.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.11 / $53.11 / $63.13	Facility	26	$53.11	$53.11	$63.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $136.19 / $441.69	Professional		$52.03	$136.19	$441.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.26 / $47.80 / $143.87	Professional	26	$34.26	$47.80	$143.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.43 / $79.15 / $297.82	Professional	TC	$15.43	$79.15	$297.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $53.11 / $53.11 / $63.13	Facility	26	$53.11	$53.11	$63.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $154.81 / $249.64	Professional		$100.85	$154.81	$249.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.11 / $47.80 / $57.45	Professional	26	$27.11	$47.80	$57.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.04 / $79.15 / $110.94	Professional	TC	$16.04	$79.15	$110.94
United Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $138.32 / $180.88	Professional		$92.81	$138.32	$180.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.53 / $57.42 / $67.31	Professional	26	$46.53	$57.42	$67.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.16 / $93.52 / $136.94	Professional	TC	$44.16	$93.52	$136.94