Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $208.93 / $426.58	Facility		$93.33	$208.93	$426.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $288.40 / $512.86	Facility	TC	$19.05	$288.40	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $45.71 / $125.89	Professional		$24.55	$45.71	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.13 / $45.71	Professional	26	$8.32	$14.13	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $26.92 / $69.18	Professional	TC	$15.85	$26.92	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Facility		$112.20	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $61.66	Professional		$31.62	$41.69	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $21.88	Professional	26	$8.91	$12.88	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $29.51 / $39.81	Professional	TC	$20.42	$29.51	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $77.62	Professional		$27.54	$53.70	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $19.05 / $22.91	Professional	26	$8.71	$19.05	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $35.48 / $56.23	Professional	TC	$18.20	$35.48	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $66.07	Professional		$27.54	$38.90	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.59 / $19.95	Professional	26	$10.23	$12.59	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $27.54 / $45.71	Professional	TC	$17.38	$27.54	$45.71