Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $323.59 / $776.25	Facility		$77.62	$323.59	$776.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $57.54 / $114.82	Facility	26	$37.15	$57.54	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $380.19	Professional		$42.66	$87.10	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $154.88	Professional	26	$33.11	$50.12	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $169.82	Professional	TC	$25.12	$37.15	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $12,022.64	Facility		$1,348.96	$3,981.07	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $323.59	Professional		$61.66	$131.83	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $72.44 / $134.90	Professional	26	$36.31	$72.44	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $54.95 / $199.53	Professional	TC	$25.70	$54.95	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $478.63	Facility		$34.67	$169.82	$478.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $50.12 / $125.89	Facility	26	$9.33	$50.12	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $169.82 / $338.84	Professional		$70.79	$169.82	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $81.28 / $151.36	Professional	26	$39.81	$81.28	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $69.18 / $208.93	Professional	TC	$30.20	$69.18	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,071.52 / $3,467.37	Facility		$194.98	$1,071.52	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $302.00	Professional		$61.66	$125.89	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $66.07 / $120.23	Professional	26	$34.67	$66.07	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $53.70 / $177.83	Professional	TC	$26.30	$53.70	$177.83