Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.55 / $114.39 / $177.17	Facility	26	$93.55	$114.39	$177.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.29 / $940.23 / $1,371.59	Professional		$754.29	$940.23	$1,371.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.88 / $98.89 / $238.90	Professional	26	$84.88	$98.89	$238.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $662.14 / $796.42 / $1,223.50	Professional	TC	$662.14	$796.42	$1,223.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.29 / $1,049.03 / $1,733.66	Professional		$777.29	$1,049.03	$1,733.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.68 / $115.05 / $197.10	Professional	26	$90.68	$115.05	$197.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $698.55 / $947.66 / $1,557.44	Professional	TC	$698.55	$947.66	$1,557.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.04 / $110.04 / $110.04	Facility	26	$110.04	$110.04	$110.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.57 / $1,309.54 / $2,142.41	Professional		$913.57	$1,309.54	$2,142.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.24 / $138.13 / $232.39	Professional	26	$99.24	$138.13	$232.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $815.96 / $1,163.40 / $1,902.79	Professional	TC	$815.96	$1,163.40	$1,902.79
United Facility/Professional Professional Modifier Low / Median / High Price $811.78 / $1,048.02 / $1,863.52	Professional		$811.78	$1,048.02	$1,863.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.90 / $115.54 / $203.40	Professional	26	$88.90	$115.54	$203.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $722.88 / $914.75 / $1,773.03	Professional	TC	$722.88	$914.75	$1,773.03