Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $380.19 / $933.25	Facility		$100.00	$380.19	$933.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $45.71 / $120.23	Facility	26	$30.90	$45.71	$120.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $77.62 / $229.09 / $758.58	Facility	TC	$77.62	$229.09	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $549.54	Professional		$91.20	$154.88	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $46.77 / $131.83	Professional	26	$30.90	$46.77	$131.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	52	$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $87.10 / $229.09	Professional	TC	$60.26	$87.10	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $512.86	Facility		$100.00	$239.88	$512.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	TC	$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $239.88	Professional		$102.33	$138.04	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $79.43	Professional	26	$33.88	$46.77	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $93.33 / $165.96	Professional	TC	$70.79	$93.33	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $467.74	Facility		$114.82	$213.80	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $45.71 / $112.20	Facility	26	$8.51	$45.71	$112.20
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $91.20 / $245.47	Facility	TC	$16.98	$91.20	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $295.12	Professional		$91.20	$151.36	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $47.86 / $93.33	Professional	26	$28.84	$47.86	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $104.71 / $204.17	Professional	TC	$61.66	$104.71	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $134.90 / $309.03	Facility		$77.62	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $223.87	Professional		$93.33	$125.89	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $72.44	Professional	26	$29.51	$38.90	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $87.10 / $154.88	Professional	TC	$63.10	$87.10	$154.88