Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $530.97 / $962.76	Facility		$277.72	$530.97	$962.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.73 / $91.25 / $120.25	Facility	26	$75.73	$91.25	$120.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $284.30 / $432.77 / $569.09	Facility	TC	$284.30	$432.77	$569.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $253.35 / $515.75	Professional		$186.12	$253.35	$515.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.36 / $85.33 / $477.70	Professional	26	$61.36	$85.33	$477.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.18 / $175.40 / $359.94	Professional	TC	$131.18	$175.40	$359.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $268.88 / $561.09	Professional		$116.28	$268.88	$561.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.59 / $101.02 / $174.26	Professional	26	$73.59	$101.02	$174.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.86 / $181.30 / $378.33	Professional	TC	$72.86	$181.30	$378.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.57 / $341.57 / $479.92	Facility		$341.57	$341.57	$479.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.01 / $142.01 / $142.01	Facility	26	$142.01	$142.01	$142.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $344.47 / $344.47 / $344.47	Facility	TC	$344.47	$344.47	$344.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $211.23 / $475.97	Professional		$122.64	$211.23	$475.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $80.84 / $166.14	Professional	26	$39.25	$80.84	$166.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.48 / $130.13 / $345.92	Professional	TC	$72.48	$130.13	$345.92
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Facility		$210.00	$210.00	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $254.10 / $486.80	Professional		$153.74	$254.10	$486.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.09 / $83.91 / $159.90	Professional	26	$50.09	$83.91	$159.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.02 / $176.47 / $350.78	Professional	TC	$103.02	$176.47	$350.78