Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.74 / $275.47 / $746.27	Facility		$155.74	$275.47	$746.27
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.54 / $40.85 / $58.14	Facility	26	$38.54	$40.85	$58.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $107.82 / $257.27	Professional		$85.76	$107.82	$257.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $48.07 / $213.31	Professional	26	$31.70	$48.07	$213.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.86 / $71.28 / $137.05	Professional	TC	$54.86	$71.28	$137.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $123.69 / $235.23	Professional		$54.58	$123.69	$235.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $48.76 / $94.41	Professional	26	$20.42	$48.76	$94.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $71.80 / $139.97	Professional	TC	$35.86	$71.80	$139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.11 / $156.11 / $196.18	Facility		$156.11	$156.11	$196.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.87 / $90.87 / $90.87	Facility	26	$90.87	$90.87	$90.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $108.45 / $205.68	Professional		$57.72	$108.45	$205.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $40.81 / $92.56	Professional	26	$21.35	$40.81	$92.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.70 / $58.77 / $129.93	Professional	TC	$34.70	$58.77	$129.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $118.34 / $227.82	Professional		$72.29	$118.34	$227.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $43.70 / $90.11	Professional	26	$26.42	$43.70	$90.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.93 / $72.84 / $136.65	Professional	TC	$41.93	$72.84	$136.65