Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $118.84 / $302.20	Facility		$69.98	$118.84	$302.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.88 / $19.60 / $22.59	Facility	26	$18.88	$19.60	$22.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $88.81 / $153.12	Professional		$60.14	$88.81	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.95 / $18.39 / $28.45	Professional	26	$15.95	$18.39	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.56 / $65.01 / $134.71	Professional	TC	$43.56	$65.01	$134.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $293.00 / $455.14	Facility		$60.98	$293.00	$455.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $98.22 / $164.97	Professional		$64.05	$98.22	$164.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $23.07 / $36.23	Professional	26	$16.23	$23.07	$36.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.38 / $70.73 / $130.07	Professional	TC	$44.38	$70.73	$130.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $227.87 / $350.29	Facility		$121.96	$227.87	$350.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.65 / $20.65 / $20.65	Facility	26	$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $118.76 / $229.06	Professional		$63.82	$118.76	$229.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $25.48 / $45.73	Professional	26	$18.23	$25.48	$45.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.63 / $93.41 / $186.92	Professional	TC	$46.63	$93.41	$186.92
United Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $77.33 / $77.33	Facility		$77.33	$77.33	$77.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $107.78 / $191.92	Professional		$63.92	$107.78	$191.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $23.55 / $39.69	Professional	26	$16.96	$23.55	$39.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.81 / $86.21 / $156.12	Professional	TC	$46.81	$86.21	$156.12