Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.92 / $126.00 / $213.12	Facility	26	$100.92	$126.00	$213.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.24 / $475.00 / $895.94	Professional		$366.24	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.81 / $140.00 / $271.60	Professional	26	$86.81	$140.00	$271.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.31 / $335.00 / $622.77	Professional	TC	$269.31	$335.00	$622.77
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.45 / $95.45 / $95.45	Facility	26	$95.45	$95.45	$95.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.93 / $564.18 / $1,054.20	Professional		$373.93	$564.18	$1,054.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.34 / $113.78 / $186.03	Professional	26	$83.34	$113.78	$186.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $287.91 / $446.68 / $949.05	Professional	TC	$287.91	$446.68	$949.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.25 / $97.25 / $97.25	Facility	26	$97.25	$97.25	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.21 / $825.24 / $1,397.68	Professional		$384.21	$825.24	$1,397.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.90 / $122.35 / $207.54	Professional	26	$75.90	$122.35	$207.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $298.32 / $632.97 / $1,191.00	Professional	TC	$298.32	$632.97	$1,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $668.82 / $1,152.33	Professional		$360.14	$668.82	$1,152.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.50 / $101.63 / $188.68	Professional	26	$78.50	$101.63	$188.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $267.19 / $546.64 / $1,008.10	Professional	TC	$267.19	$546.64	$1,008.10