Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $146.93 / $253.70	Facility		$92.58	$146.93	$253.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.72 / $71.98 / $81.07	Facility	26	$64.72	$71.98	$81.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $56.97 / $80.72 / $106.93	Facility	TC	$56.97	$80.72	$106.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $88.26 / $171.60	Professional		$75.48	$88.26	$171.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.30 / $71.44 / $509.70	Professional	26	$48.30	$71.44	$509.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.22 / $33.15 / $70.26	Professional	TC	$28.22	$33.15	$70.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $111.96 / $211.17	Professional		$39.89	$111.96	$211.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $74.37 / $124.51	Professional	26	$26.64	$74.37	$124.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.48 / $32.72 / $67.59	Professional	TC	$13.48	$32.72	$67.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $93.91 / $139.63	Facility		$87.77	$93.91	$139.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.98 / $91.98 / $91.98	Facility	26	$91.98	$91.98	$91.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $47.65 / $47.65 / $47.65	Facility	TC	$47.65	$47.65	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $92.49 / $171.81	Professional		$46.48	$92.49	$171.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.64 / $61.30 / $119.95	Professional	26	$29.64	$61.30	$119.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $28.11 / $63.38	Professional	TC	$15.83	$28.11	$63.38
United Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $174.87 / $174.87	Facility		$174.87	$174.87	$174.87
United Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $94.64 / $182.95	Professional		$58.22	$94.64	$182.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $62.91 / $120.61	Professional	26	$37.72	$62.91	$120.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $29.76 / $66.52	Professional	TC	$18.98	$29.76	$66.52