Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $346.74 / $851.14	Facility		$117.49	$346.74	$851.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $34.67 / $91.20	Facility	26	$21.88	$34.67	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $316.23	Professional		$104.71	$138.04	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $72.44	Professional	26	$20.89	$28.18	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $104.71 / $204.17	Professional	TC	$85.11	$104.71	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $323.59 / $426.58	Facility		$125.89	$323.59	$426.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $257.04	Professional		$97.72	$141.25	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $47.86	Professional	26	$19.50	$27.54	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $114.82 / $213.80	Professional	TC	$79.43	$114.82	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $288.40 / $630.96	Facility		$112.20	$288.40	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $30.20 / $72.44	Facility	26	$5.62	$30.20	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $338.84	Professional		$114.82	$177.83	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $64.57	Professional	26	$21.88	$31.62	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $151.36 / $288.40	Professional	TC	$93.33	$151.36	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $165.96 / $389.05	Facility		$30.90	$165.96	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $275.42	Professional		$107.15	$154.88	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $50.12	Professional	26	$20.42	$26.92	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $128.82 / $229.09	Professional	TC	$85.11	$128.82	$229.09