Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $851.14	Facility		$208.93	$426.58	$851.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $302.00 / $407.38 / $616.60	Facility	TC	$302.00	$407.38	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $93.33	Professional		$36.31	$63.10	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.38 / $26.30	Professional	26	$10.00	$17.38	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $48.98 / $72.44	Professional	TC	$26.30	$48.98	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $158.49	Professional		$102.33	$158.49	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $41.69 / $41.69	Professional	26	$26.92	$41.69	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $114.82 / $114.82	Professional	TC	$75.86	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $100.00	Professional		$38.90	$63.10	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $33.11	Professional	26	$11.75	$18.62	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $45.71 / $69.18	Professional	TC	$26.30	$45.71	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $114.82	Professional		$39.81	$67.61	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.95 / $35.48	Professional	26	$11.48	$19.95	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $81.28	Professional	TC	$28.84	$47.86	$81.28