Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $223.87	Facility		$50.12	$75.86	$223.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $257.04	Professional		$67.61	$112.20	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.88 / $81.28	Professional	26	$20.89	$33.88	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $75.86 / $154.88	Professional	TC	$48.98	$75.86	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $281.84	Facility		$181.97	$229.09	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $165.96	Professional		$100.00	$123.03	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $24.55 / $42.66	Professional	26	$22.91	$24.55	$42.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $83.18 / $109.65	Professional	TC	$77.62	$83.18	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $229.09	Professional		$89.13	$131.83	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.11 / $57.54	Professional	26	$22.39	$33.11	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $117.49 / $169.82	Professional	TC	$66.07	$117.49	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $190.55	Professional		$63.10	$128.82	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.11 / $45.71	Professional	26	$21.88	$33.11	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $97.72 / $138.04	Professional	TC	$41.69	$97.72	$138.04