Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $346.74 / $977.24	Facility		$107.15	$346.74	$977.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $23.99 / $63.10	Facility	26	$13.49	$23.99	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $288.40	Professional		$77.62	$107.15	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.89 / $70.79	Professional	26	$12.88	$20.89	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $85.11 / $177.83	Professional	TC	$63.10	$85.11	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $263.03 / $724.44	Facility		$85.11	$263.03	$724.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $208.93	Professional		$70.79	$102.33	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $20.89 / $43.65	Professional	26	$10.47	$20.89	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $83.18 / $173.78	Professional	TC	$56.23	$83.18	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $295.12 / $794.33	Facility		$120.23	$295.12	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.80 / $19.95 / $48.98	Facility	26	$3.80	$19.95	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $245.47	Professional		$74.13	$120.23	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $42.66	Professional	26	$12.88	$21.88	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $102.33 / $223.87	Professional	TC	$61.66	$102.33	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $302.00 / $691.83	Facility		$61.66	$302.00	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $190.55	Professional		$72.44	$100.00	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.38 / $33.11	Professional	26	$13.18	$17.38	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $83.18 / $158.49	Professional	TC	$58.88	$83.18	$158.49