Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $181.97	Facility		$91.20	$165.96	$181.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $66.07 / $66.07	Facility	26	$35.48	$66.07	$66.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $54.95 / $100.00 / $223.87	Facility	TC	$54.95	$100.00	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $363.08	Professional		$50.12	$109.65	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $50.12 / $281.84	Professional	26	$26.30	$50.12	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $66.07 / $177.83	Professional	TC	$28.84	$66.07	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $67.61	Facility		$60.26	$60.26	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $93.33	Professional		$47.86	$67.61	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.30 / $69.18	Professional	26	$18.62	$26.30	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $30.90 / $41.69	Professional	TC	$28.84	$30.90	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $93.33 / $120.23	Professional		$35.48	$93.33	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $38.90 / $46.77	Professional	26	$14.13	$38.90	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $53.70 / $74.13	Professional	TC	$20.89	$53.70	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $114.82	Professional		$47.86	$79.43	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.11 / $47.86	Professional	26	$25.70	$33.11	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $43.65 / $61.66	Professional	TC	$25.12	$43.65	$61.66