Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $468.35 / $982.43	Facility		$111.38	$468.35	$982.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.87 / $47.59 / $78.35	Facility	26	$36.87	$47.59	$78.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $140.18 / $464.53	Professional		$103.63	$140.18	$464.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $44.40 / $144.47	Professional	26	$34.33	$44.40	$144.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.81 / $96.81 / $187.52	Professional	TC	$67.81	$96.81	$187.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $350.00 / $554.00	Facility		$186.00	$350.00	$554.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.58 / $42.58 / $42.58	Facility	26	$42.58	$42.58	$42.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $141.28 / $234.39	Professional		$112.07	$141.28	$234.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.25 / $50.92 / $76.55	Professional	26	$37.25	$50.92	$76.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.53 / $92.17 / $159.13	Professional	TC	$72.53	$92.17	$159.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $238.37 / $428.79	Facility		$130.11	$238.37	$428.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $162.41 / $271.77	Professional		$106.83	$162.41	$271.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.09 / $53.72 / $89.16	Professional	26	$35.09	$53.72	$89.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.55 / $109.59 / $186.57	Professional	TC	$71.55	$109.59	$186.57
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $252.18 / $567.40	Facility		$245.18	$252.18	$567.40
United Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $138.35 / $237.72	Professional		$113.51	$138.35	$237.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $45.32 / $78.58	Professional	26	$37.31	$45.32	$78.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.03 / $94.04 / $161.69	Professional	TC	$75.03	$94.04	$161.69