Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $239.02 / $298.58	Facility		$96.06	$239.02	$298.58
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 Facility Modifier TC Low / Median / High Price $235.26 / $290.85 / $308.00	Facility	TC	$235.26	$290.85	$308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $39.31 / $191.00	Professional		$25.86	$39.31	$191.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.75 / $25.63	Professional	26	$8.52	$10.75	$25.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $27.71 / $32.68	Professional	TC	$17.32	$27.71	$32.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $173.20 / $200.64	Facility		$93.37	$173.20	$200.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $49.71 / $87.70	Professional		$43.94	$49.71	$87.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.24 / $22.56	Professional	26	$9.27	$13.24	$22.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $36.47 / $36.78	Professional	TC	$25.54	$36.47	$36.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $173.34 / $304.72	Facility		$133.81	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $59.73 / $87.96	Professional		$34.72	$59.73	$87.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $15.97 / $22.89	Professional	26	$9.42	$15.97	$22.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $43.76 / $65.98	Professional	TC	$24.63	$43.76	$65.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $43.66 / $75.70	Professional		$30.22	$43.66	$75.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $14.27 / $23.02	Professional	26	$9.81	$14.27	$23.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $33.11 / $65.04	Professional	TC	$17.55	$33.11	$65.04