Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $181.65 / $472.27	Facility		$77.66	$181.65	$472.27
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.59 / $51.32 / $90.09	Facility	26	$39.59	$51.32	$90.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $102.71 / $253.00	Professional		$59.65	$102.71	$253.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $56.14 / $101.56	Professional	26	$34.61	$56.14	$101.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.84 / $47.83 / $157.97	Professional	TC	$26.84	$47.83	$157.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,549.00 / $7,714.00	Facility		$1,787.00	$4,549.00	$7,714.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $117.68 / $235.88	Professional		$63.42	$117.68	$235.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.18 / $65.60 / $114.63	Professional	26	$36.18	$65.60	$114.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.16 / $46.58 / $152.04	Professional	TC	$27.16	$46.58	$152.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.98 / $41.98 / $41.98	Facility	26	$41.98	$41.98	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $154.32 / $316.61	Professional		$75.64	$154.32	$316.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.15 / $80.20 / $140.11	Professional	26	$42.15	$80.20	$140.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.58 / $66.86 / $197.75	Professional	TC	$31.58	$66.86	$197.75
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,221.00 / $2,918.00	Facility		$231.00	$1,221.00	$2,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $134.86 / $293.10	Professional		$66.09	$134.86	$293.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.69 / $71.59 / $118.83	Professional	26	$37.69	$71.59	$118.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.74 / $55.92 / $175.40	Professional	TC	$27.74	$55.92	$175.40