Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $228.96 / $442.87	Facility		$96.06	$228.96	$442.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.23 / $66.23 / $66.23	Facility	26	$66.23	$66.23	$66.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $139.28 / $298.58 / $377.27	Facility	TC	$139.28	$298.58	$377.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $32.22 / $174.00	Professional		$24.68	$32.22	$174.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $15.88 / $55.00	Professional	26	$8.36	$15.88	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $19.53 / $30.25	Professional	TC	$16.30	$19.53	$30.25
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 $37.20 / $42.15 / $58.91	Professional		$37.20	$42.15	$58.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $12.83 / $21.02	Professional	26	$8.98	$12.83	$21.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $29.33 / $37.90	Professional	TC	$20.53	$29.33	$37.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $107.96 / $107.96	Facility		$107.96	$107.96	$107.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $50.57 / $68.17	Professional		$30.35	$50.57	$68.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $15.46 / $22.16	Professional	26	$9.14	$15.46	$22.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $35.10 / $48.23	Professional	TC	$19.80	$35.10	$48.23
United Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $38.53 / $64.29	Professional		$27.74	$38.53	$64.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $13.83 / $29.24	Professional	26	$10.25	$13.83	$29.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $27.68 / $58.56	Professional	TC	$17.48	$27.68	$58.56