Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $494.25 / $1,612.13	Facility		$87.41	$494.25	$1,612.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $27.19 / $460.75	Facility	26	$26.70	$27.19	$460.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $200.68 / $530.41 / $950.00	Facility	TC	$200.68	$530.41	$950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $109.13 / $121.14	Professional		$67.02	$109.13	$121.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $51.76 / $140.05	Professional	26	$25.26	$51.76	$140.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.42 / $71.86 / $93.07	Professional	TC	$44.42	$71.86	$93.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $372.00 / $372.00	Professional		$227.00	$372.00	$372.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.00 / $118.00 / $118.00	Professional	26	$72.00	$118.00	$118.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.00 / $254.00 / $254.00	Professional	TC	$155.00	$254.00	$254.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $138.44 / $274.11	Professional		$88.14	$138.44	$274.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $43.26 / $76.72	Professional	26	$28.30	$43.26	$76.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.84 / $95.20 / $175.42	Professional	TC	$59.84	$95.20	$175.42
United Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $179.00 / $361.41	Professional		$107.37	$179.00	$361.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $57.80 / $106.61	Professional	26	$28.59	$57.80	$106.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.15 / $121.20 / $254.80	Professional	TC	$78.15	$121.20	$254.80