Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $794.33 / $1,737.80	Facility		$229.09	$794.33	$1,737.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $42.66 / $93.33	Facility	26	$31.62	$42.66	$93.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $162.18 / $436.52 / $1,348.96	Facility	TC	$162.18	$436.52	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $758.58	Professional		$169.82	$257.04	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $43.65 / $138.04	Professional	26	$30.20	$43.65	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $177.83 / $426.58	Professional	TC	$141.25	$177.83	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $489.78 / $977.24	Facility		$173.78	$489.78	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	TC	$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $398.11	Professional		$151.36	$218.78	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $40.74 / $72.44	Professional	26	$28.84	$40.74	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $181.97 / $331.13	Professional	TC	$131.83	$181.97	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $389.05 / $954.99	Facility		$147.91	$389.05	$954.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $41.69 / $102.33	Facility	26	$7.94	$41.69	$102.33
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $190.55 / $501.19	Facility	TC	$35.48	$190.55	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $549.54	Professional		$177.83	$281.84	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $46.77 / $91.20	Professional	26	$32.36	$46.77	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $239.88 / $457.09	Professional	TC	$151.36	$239.88	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $363.08 / $891.25	Facility		$46.77	$363.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $436.52	Professional		$169.82	$245.47	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $70.79	Professional	26	$29.51	$39.81	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $363.08	Professional	TC	$138.04	$204.17	$363.08