Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.64 / $278.64 / $278.64	Facility		$278.64	$278.64	$278.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.43 / $104.43 / $104.43	Facility	26	$104.43	$104.43	$104.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $203.40 / $278.64	Professional		$63.91	$203.40	$278.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.93 / $74.81 / $104.43	Professional	26	$36.93	$74.81	$104.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.98 / $128.59 / $174.21	Professional	TC	$26.98	$128.59	$174.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.33 / $305.50 / $380.88	Facility		$190.33	$305.50	$380.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $79.70 / $374.78	Professional		$67.75	$79.70	$374.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $44.90 / $58.00	Professional	26	$31.43	$44.90	$58.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $34.79 / $34.79	Professional	TC	$24.35	$34.79	$34.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $121.85 / $144.41	Professional		$79.70	$121.85	$144.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $69.25 / $95.26	Professional	26	$44.91	$69.25	$95.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $52.60 / $82.41	Professional	TC	$34.79	$52.60	$82.41
United Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,401.00 / $3,774.00	Facility		$540.00	$1,401.00	$3,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $108.77 / $250.15	Professional		$69.29	$108.77	$250.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.76 / $54.41 / $96.13	Professional	26	$38.76	$54.41	$96.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.59 / $49.22 / $158.80	Professional	TC	$29.59	$49.22	$158.80