Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $186.21 / $389.05	Facility		$93.33	$186.21	$389.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $251.19 / $257.04 / $309.03	Facility	TC	$251.19	$257.04	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $77.62	Professional		$15.85	$33.88	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $34.67	Professional	26	$7.76	$9.33	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $13.80 / $43.65	Professional	TC	$8.51	$13.80	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Facility		$112.20	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $42.66	Professional		$24.55	$32.36	$42.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.72 / $18.62	Professional	26	$7.59	$10.72	$18.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $28.84	Professional	TC	$15.14	$21.88	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $60.26	Professional		$17.78	$35.48	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $15.85 / $19.05	Professional	26	$7.41	$15.85	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $21.88 / $41.69	Professional	TC	$10.00	$21.88	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $51.29	Professional		$18.20	$28.84	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.47 / $16.60	Professional	26	$8.51	$10.47	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $17.78 / $33.88	Professional	TC	$10.00	$17.78	$33.88