Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $309.03	Professional		$107.15	$151.36	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $31.62 / $87.10	Professional	26	$20.89	$31.62	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $114.82 / $295.12	Professional	TC	$91.20	$114.82	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $389.05	Facility		$213.80	$251.19	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $309.03	Professional		$109.65	$144.54	$309.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $41.69	Professional	26	$19.95	$28.18	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $117.49 / $158.49	Professional	TC	$83.18	$117.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $575.44	Facility		$323.59	$478.63	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $302.00	Professional		$120.23	$154.88	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.18 / $51.29	Professional	26	$22.39	$28.18	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $125.89 / $269.15	Professional	TC	$97.72	$125.89	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $257.04	Professional		$114.82	$154.88	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $46.77	Professional	26	$22.91	$28.18	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $141.25 / $204.17	Professional	TC	$93.33	$141.25	$204.17