Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $645.65	Facility		$114.82	$316.23	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $18.62 / $18.62	Facility	26	$8.32	$18.62	$18.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $269.15 / $288.40 / $616.60	Facility	TC	$269.15	$288.40	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $63.10	Professional		$20.89	$31.62	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $32.36	Professional	26	$7.94	$10.00	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $19.05 / $41.69	Professional	TC	$11.22	$19.05	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $102.33	Professional		$67.61	$102.33	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $33.88	Professional	26	$21.88	$33.88	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $69.18 / $69.18	Professional	TC	$44.67	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $56.23	Professional		$20.89	$38.90	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $26.30	Professional	26	$9.55	$15.14	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $20.89 / $37.15	Professional	TC	$10.96	$20.89	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $44.67 / $61.66	Professional		$19.05	$44.67	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $28.84	Professional	26	$8.91	$16.22	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $28.84 / $35.48	Professional	TC	$10.23	$28.84	$35.48