Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $264.01 / $779.52	Facility		$99.14	$264.01	$779.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.99 / $19.07 / $34.68	Facility	26	$14.99	$19.07	$34.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $98.50 / $185.93	Professional		$81.59	$98.50	$185.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $15.81 / $44.08	Professional	26	$13.22	$15.81	$44.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $80.31 / $149.21	Professional	TC	$67.40	$80.31	$149.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.87 / $320.64 / $513.66	Facility		$153.87	$320.64	$513.66
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.50 / $17.50 / $17.50	Facility	26	$17.50	$17.50	$17.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $113.07 / $201.27	Professional		$77.83	$113.07	$201.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $20.81 / $33.51	Professional	26	$15.00	$20.81	$33.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.77 / $92.13 / $171.04	Professional	TC	$63.77	$92.13	$171.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $306.82 / $657.88	Facility		$151.10	$306.82	$657.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $116.16 / $209.56	Professional		$80.62	$116.16	$209.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $22.14 / $35.88	Professional	26	$14.00	$22.14	$35.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.14 / $95.43 / $182.40	Professional	TC	$64.14	$95.43	$182.40
United Facility/Professional Facility Modifier Low / Median / High Price $111.10 / $180.55 / $206.61	Facility		$111.10	$180.55	$206.61
United Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $104.12 / $187.93	Professional		$81.99	$104.12	$187.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.22 / $19.18 / $33.33	Professional	26	$15.22	$19.18	$33.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.03 / $86.87 / $163.44	Professional	TC	$66.03	$86.87	$163.44