Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $242.31 / $267.60	Facility		$170.80	$242.31	$267.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.37 / $68.37 / $68.37	Facility	26	$68.37	$68.37	$68.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $32.39 / $65.25	Professional		$23.66	$32.39	$65.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.19 / $57.59	Professional	26	$8.36	$10.19	$57.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.90 / $25.17	Professional	TC	$15.29	$21.90	$25.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $45.94 / $66.06	Professional		$40.94	$45.94	$66.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.24 / $21.05	Professional	26	$9.27	$13.24	$21.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.88 / $32.69 / $33.36	Professional	TC	$22.88	$32.69	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $173.34 / $304.72	Facility		$120.88	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $55.66 / $72.37	Professional		$31.42	$55.66	$72.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $15.97 / $22.89	Professional	26	$9.14	$15.97	$22.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $39.68 / $59.90	Professional	TC	$22.36	$39.68	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $45.14 / $82.35	Professional		$29.26	$45.14	$82.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $13.44 / $27.15	Professional	26	$7.36	$13.44	$27.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $28.09 / $49.58	Professional	TC	$19.32	$28.09	$49.58