Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $436.52 / $1,148.15	Facility		$64.57	$436.52	$1,148.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $42.66 / $120.23	Facility	26	$26.92	$42.66	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $398.11	Professional		$48.98	$97.72	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.71 / $141.25	Professional	26	$26.92	$45.71	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $35.48 / $186.21	Professional	TC	$20.89	$35.48	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $112.20 / $371.54	Facility		$34.67	$112.20	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	26	$33.88	$33.88	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $245.47	Professional		$53.70	$97.72	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $77.62	Professional	26	$28.84	$39.81	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $50.12 / $181.97	Professional	TC	$26.92	$50.12	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $812.83	Facility		$93.33	$218.78	$812.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $39.81 / $95.50	Facility	26	$7.41	$39.81	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $263.03	Professional		$50.12	$112.20	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $43.65 / $83.18	Professional	26	$25.70	$43.65	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $54.95 / $208.93	Professional	TC	$22.91	$54.95	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $69.18 / $134.90	Facility		$26.92	$69.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $208.93	Professional		$50.12	$85.11	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $63.10	Professional	26	$25.70	$34.67	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $169.82	Professional	TC	$22.39	$38.02	$169.82