Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $298.08 / $871.47	Facility		$94.04	$298.08	$871.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.83 / $29.36 / $34.52	Facility	26	$26.83	$29.36	$34.52
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $78.84 / $160.29 / $178.41	Facility	TC	$78.84	$160.29	$178.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $81.54 / $340.00	Professional		$59.78	$81.54	$340.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $54.88 / $338.69	Professional	26	$19.98	$54.88	$338.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.00 / $54.76 / $176.76	Professional	TC	$41.00	$54.76	$176.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $121.92 / $121.92	Facility		$121.92	$121.92	$121.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $74.74 / $154.38	Professional		$37.86	$74.74	$154.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $24.21 / $50.92	Professional	26	$11.95	$24.21	$50.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.92 / $52.70 / $115.62	Professional	TC	$25.92	$52.70	$115.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.90 / $124.90 / $176.16	Facility		$124.90	$124.90	$176.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.22 / $71.22 / $71.22	Facility	26	$71.22	$71.22	$71.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $104.94 / $104.94 / $104.94	Facility	TC	$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $70.56 / $152.06	Professional		$37.43	$70.56	$152.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $23.08 / $47.02	Professional	26	$11.81	$23.08	$47.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $48.64 / $101.02	Professional	TC	$25.86	$48.64	$101.02
United Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $87.21 / $169.22	Professional		$51.64	$87.21	$169.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.18 / $28.42 / $52.48	Professional	26	$16.18	$28.42	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.76 / $58.59 / $108.42	Professional	TC	$34.76	$58.59	$108.42