Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.87 / $242.31 / $337.53	Facility		$234.87	$242.31	$337.53
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.42 / $53.42 / $53.42	Facility	26	$53.42	$53.42	$53.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $119.60 / $382.86 / $458.85	Facility	TC	$119.60	$382.86	$458.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.43 / $69.38	Professional		$21.38	$27.43	$69.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $9.28 / $45.96	Professional	26	$6.67	$9.28	$45.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.71 / $18.13 / $20.00	Professional	TC	$14.71	$18.13	$20.00
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 $32.78 / $35.04 / $58.98	Professional		$32.78	$35.04	$58.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.33 / $17.98	Professional	26	$7.23	$10.33	$17.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $24.71 / $24.79	Professional	TC	$17.30	$24.71	$24.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.18 / $326.44 / $573.86	Facility		$90.18	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $41.97 / $61.82	Professional		$25.30	$41.97	$61.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $12.47 / $17.87	Professional	26	$7.40	$12.47	$17.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.86 / $29.50 / $44.68	Professional	TC	$16.86	$29.50	$44.68
United Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $34.61 / $53.49	Professional		$24.75	$34.61	$53.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.15 / $15.98	Professional	26	$7.59	$11.15	$15.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.62 / $24.96 / $44.14	Professional	TC	$15.62	$24.96	$44.14