Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $361.20 / $911.30	Facility		$79.39	$361.20	$911.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.56 / $41.06 / $59.17	Facility	26	$35.56	$41.06	$59.17
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $66.05 / $79.40 / $103.40	Facility	TC	$66.05	$79.40	$103.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $81.08 / $323.85	Professional		$54.42	$81.08	$323.85
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $215.59 / $215.59 / $215.59	Professional	22	$215.59	$215.59	$215.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.75 / $69.56 / $393.43	Professional	26	$30.75	$69.56	$393.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.93 / $31.21 / $52.87	Professional	52	$25.93	$31.21	$52.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $43.61 / $128.32	Professional	TC	$26.62	$43.61	$128.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $54.42 / $54.42	Facility		$54.42	$54.42	$54.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $91.31 / $181.11	Professional		$57.22	$91.31	$181.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $49.93 / $86.92	Professional	26	$34.36	$49.93	$86.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $44.85 / $86.33	Professional	TC	$22.50	$44.85	$86.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $71.03 / $119.28	Facility		$68.62	$71.03	$119.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.29 / $78.29 / $78.29	Facility	26	$78.29	$78.29	$78.29
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $67.70 / $67.70 / $67.70	Facility	TC	$67.70	$67.70	$67.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $72.51 / $151.19	Professional		$35.24	$72.51	$151.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $36.90 / $76.68	Professional	26	$17.96	$36.90	$76.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $35.71 / $81.55	Professional	TC	$16.64	$35.71	$81.55
United Facility/Professional Facility Modifier Low / Median / High Price $110.82 / $110.82 / $110.82	Facility		$110.82	$110.82	$110.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $71.45 / $145.65	Professional		$42.88	$71.45	$145.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $37.99 / $75.81	Professional	26	$22.83	$37.99	$75.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $34.65 / $77.93	Professional	TC	$19.27	$34.65	$77.93