Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $933.25	Facility		$151.36	$281.84	$933.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $128.82 / $128.82	Facility	26	$69.18	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $316.23 / $467.74	Professional		$104.71	$316.23	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $186.21 / $691.83	Professional	26	$45.71	$186.21	$691.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $112.20 / $257.04	Professional	TC	$56.23	$112.20	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $141.25	Facility		$128.82	$128.82	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $169.82	Professional		$83.18	$120.23	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $66.07	Professional	26	$28.18	$39.81	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $60.26 / $79.43	Professional	TC	$56.23	$60.26	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $173.78 / $208.93	Professional		$63.10	$173.78	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $66.07 / $75.86	Professional	26	$21.38	$66.07	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $100.00 / $144.54	Professional	TC	$42.66	$100.00	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $131.83 / $218.78	Professional		$54.95	$131.83	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $45.71 / $87.10	Professional	26	$25.12	$45.71	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $87.10 / $131.83	Professional	TC	$23.99	$87.10	$131.83