Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $338.84 / $537.03	Facility		$93.33	$338.84	$537.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $117.49 / $331.13 / $446.68	Facility	TC	$117.49	$331.13	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $77.62	Professional		$30.20	$51.29	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $19.05 / $45.71	Professional	26	$9.55	$19.05	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $38.90 / $56.23	Professional	TC	$19.95	$38.90	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $134.90	Professional		$87.10	$134.90	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $40.74	Professional	26	$26.92	$40.74	$40.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $93.33 / $93.33	Professional	TC	$60.26	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $87.10	Professional		$31.62	$53.70	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.20 / $30.90	Professional	26	$11.48	$18.20	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $37.15 / $54.95	Professional	TC	$19.95	$37.15	$54.95
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 $29.51 / $58.88 / $95.50	Professional		$29.51	$58.88	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $19.50 / $33.88	Professional	26	$10.47	$19.50	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $38.90 / $60.26	Professional	TC	$18.62	$38.90	$60.26