Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $152.68 / $152.68	Professional		$152.68	$152.68	$152.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $43.81 / $43.81	Professional	26	$39.70	$43.81	$43.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.87 / $108.87 / $108.87	Professional	TC	$108.87	$108.87	$108.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $446.00 / $557.00	Professional		$372.00	$446.00	$557.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.00 / $92.00 / $115.00	Professional	26	$77.00	$92.00	$115.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.00 / $354.00 / $442.00	Professional	TC	$295.00	$354.00	$442.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.59 / $221.39 / $323.44	Professional		$147.59	$221.39	$323.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.60 / $65.79 / $93.95	Professional	26	$53.60	$65.79	$93.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.99 / $163.11 / $257.64	Professional	TC	$93.99	$163.11	$257.64
United Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $293.00 / $3,239.00	Facility		$293.00	$293.00	$3,239.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.09 / $330.35 / $499.11	Professional		$210.09	$330.35	$499.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.27 / $125.58 / $157.10	Professional	26	$58.27	$125.58	$157.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.54 / $322.07 / $373.53	Professional	TC	$170.54	$322.07	$373.53