Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.31 / $614.76 / $1,117.00	Facility		$201.31	$614.76	$1,117.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.75 / $44.05 / $70.94	Facility	26	$38.75	$44.05	$70.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $204.21 / $397.20	Professional		$169.61	$204.21	$397.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $38.39 / $83.65	Professional	26	$30.82	$38.39	$83.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.68 / $162.49 / $265.99	Professional	TC	$133.68	$162.49	$265.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.60 / $429.13 / $876.00	Facility		$235.60	$429.13	$876.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.18 / $43.18 / $43.18	Facility	26	$43.18	$43.18	$43.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $202.71 / $342.31	Professional		$163.22	$202.71	$342.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $42.17 / $67.71	Professional	26	$31.76	$42.17	$67.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.90 / $164.23 / $269.21	Professional	TC	$131.90	$164.23	$269.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.74 / $462.32 / $825.00	Facility		$253.74	$462.32	$825.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.31 / $43.31 / $43.31	Facility	26	$43.31	$43.31	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $274.24 / $440.76	Professional		$179.52	$274.24	$440.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $49.52 / $85.11	Professional	26	$35.11	$49.52	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.66 / $219.40 / $363.97	Professional	TC	$141.66	$219.40	$363.97
United Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $153.19 / $252.25	Facility		$38.19	$153.19	$252.25
United Facility/Professional Professional Modifier Low / Median / High Price $178.52 / $243.92 / $405.82	Professional		$178.52	$243.92	$405.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $45.90 / $80.58	Professional	26	$33.54	$45.90	$80.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.00 / $202.59 / $344.13	Professional	TC	$144.00	$202.59	$344.13