Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $426.58 / $1,122.02	Facility		$104.71	$426.58	$1,122.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $50.12 / $125.89	Facility	26	$33.11	$50.12	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $575.44	Professional		$97.72	$173.78	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $54.95 / $158.49	Professional	26	$33.88	$54.95	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $100.00 / $269.15	Professional	TC	$64.57	$100.00	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $562.34	Facility		$107.15	$257.04	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $257.04	Professional		$107.15	$144.54	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $51.29 / $87.10	Professional	26	$37.15	$51.29	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $97.72 / $169.82	Professional	TC	$72.44	$97.72	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $218.78 / $489.78	Facility		$120.23	$218.78	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $50.12 / $120.23	Facility	26	$9.33	$50.12	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $316.23	Professional		$97.72	$162.18	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $52.48 / $102.33	Professional	26	$31.62	$52.48	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $109.65 / $213.80	Professional	TC	$66.07	$109.65	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $309.03	Facility		$77.62	$138.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $245.47	Professional		$100.00	$134.90	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $79.43	Professional	26	$32.36	$42.66	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $91.20 / $165.96	Professional	TC	$66.07	$91.20	$165.96