Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.57 / $244.77 / $359.86	Facility		$231.57	$244.77	$359.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.99 / $61.99 / $61.99	Facility	26	$61.99	$61.99	$61.99
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $250.68 / $377.26 / $536.92	Facility	TC	$250.68	$377.26	$536.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $34.17 / $89.25	Professional		$24.40	$34.17	$89.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.33 / $38.25	Professional	26	$8.52	$10.33	$38.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.87 / $22.33 / $25.73	Professional	TC	$15.87	$22.33	$25.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $218.05 / $254.15	Facility		$93.37	$218.05	$254.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $41.33 / $68.08	Professional		$36.47	$41.33	$68.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.99 / $21.05	Professional	26	$8.39	$11.99	$21.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $29.33 / $29.50	Professional	TC	$20.53	$29.33	$29.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $326.44 / $573.86	Facility		$106.34	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $49.57 / $70.73	Professional		$29.83	$49.57	$70.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $14.47 / $20.74	Professional	26	$8.64	$14.47	$20.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $35.10 / $53.05	Professional	TC	$19.80	$35.10	$53.05
United Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $40.15 / $63.02	Professional		$30.37	$40.15	$63.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $12.94 / $20.84	Professional	26	$9.81	$12.94	$20.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $27.41 / $52.36	Professional	TC	$20.56	$27.41	$52.36