Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $173.78 / $416.87	Facility	26	$87.10	$173.78	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,000.00	Professional		$309.03	$467.74	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $125.89 / $218.78	Professional	26	$81.28	$125.89	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $660.69	Professional	TC	$223.87	$338.84	$660.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,023.29	Professional		$309.03	$478.63	$1,023.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $194.98	Professional	26	$74.13	$97.72	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $380.19 / $851.14	Professional	TC	$245.47	$380.19	$851.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $107.15 / $257.04	Facility	26	$19.95	$107.15	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $1,096.48	Professional		$302.00	$602.56	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $114.82 / $229.09	Professional	26	$66.07	$114.82	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $446.68 / $870.96	Professional	TC	$223.87	$446.68	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $912.01	Professional		$302.00	$501.19	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $177.83	Professional	26	$70.79	$91.20	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $380.19 / $741.31	Professional	TC	$229.09	$380.19	$741.31