Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.19 / $287.92 / $632.72	Facility		$121.19	$287.92	$632.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.12 / $27.26 / $44.31	Facility	26	$24.12	$27.26	$44.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $129.78 / $223.79	Professional		$107.89	$129.78	$223.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $23.84 / $45.54	Professional	26	$20.50	$23.84	$45.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.12 / $105.31 / $165.50	Professional	TC	$87.12	$105.31	$165.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.90 / $302.82 / $733.19	Facility		$156.90	$302.82	$733.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.22 / $27.22 / $27.22	Facility	26	$27.22	$27.22	$27.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $131.97 / $221.02	Professional		$107.42	$131.97	$221.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.24 / $26.83 / $44.52	Professional	26	$21.24	$26.83	$44.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.01 / $108.22 / $176.36	Professional	TC	$88.01	$108.22	$176.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.21 / $266.48 / $438.60	Facility		$138.21	$266.48	$438.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $178.94 / $296.64	Professional		$118.04	$178.94	$296.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.59 / $31.55 / $53.15	Professional	26	$22.59	$31.55	$53.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.55 / $149.04 / $245.31	Professional	TC	$93.55	$149.04	$245.31
United Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $110.74 / $159.29	Facility		$100.96	$110.74	$159.29
United Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $162.59 / $270.38	Professional		$115.55	$162.59	$270.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $28.70 / $50.17	Professional	26	$21.66	$28.70	$50.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.26 / $134.49 / $234.70	Professional	TC	$93.26	$134.49	$234.70