Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $245.47 / $691.83	Facility		$120.23	$245.47	$691.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $95.50 / $275.42	Facility	26	$54.95	$95.50	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $457.09	Professional		$104.71	$144.54	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $144.54 / $478.63	Professional	26	$54.95	$144.54	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $79.43 / $245.47	Professional	TC	$56.23	$79.43	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $323.59	Professional		$63.10	$114.82	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $70.79 / $162.18	Professional	26	$30.20	$70.79	$162.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $39.81 / $173.78	Professional	TC	$14.13	$39.81	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $186.21 / $398.11	Facility		$104.71	$186.21	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $91.20 / $138.04	Facility	26	$17.38	$91.20	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $302.00	Professional		$70.79	$134.90	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $67.61 / $141.25	Professional	26	$33.11	$67.61	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $64.57 / $173.78	Professional	TC	$34.67	$64.57	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $125.89	Facility		$37.15	$69.18	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $309.03	Professional		$81.28	$138.04	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $67.61 / $147.91	Professional	26	$39.81	$67.61	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $70.79 / $165.96	Professional	TC	$42.66	$70.79	$165.96