Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $198.17 / $405.86	Facility		$97.68	$198.17	$405.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.55 / $55.55 / $55.55	Facility	26	$55.55	$55.55	$55.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $96.02 / $290.85 / $308.00	Facility	TC	$96.02	$290.85	$308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $19.14 / $25.00	Professional		$15.92	$19.14	$25.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.64 / $51.00	Professional	26	$7.03	$9.64	$51.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.88 / $10.64 / $16.66	Professional	TC	$8.88	$10.64	$16.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $140.30 / $197.47	Facility		$106.22	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $32.51 / $41.34	Professional		$28.62	$32.51	$41.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.75 / $17.63	Professional	26	$7.53	$10.75	$17.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.23 / $20.66 / $21.79	Professional	TC	$15.23	$20.66	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $78.86	Facility		$78.86	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $38.90 / $52.76	Professional		$23.41	$38.90	$52.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $12.97 / $18.57	Professional	26	$7.38	$12.97	$18.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.07 / $25.94 / $35.86	Professional	TC	$13.07	$25.94	$35.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $30.06 / $67.31	Professional		$18.11	$30.06	$67.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $11.59 / $17.86	Professional	26	$8.59	$11.59	$17.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.98 / $20.87 / $38.93	Professional	TC	$9.98	$20.87	$38.93