Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $245.47 / $371.54	Facility		$213.80	$245.47	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $251.19 / $457.09 / $467.74	Facility	TC	$251.19	$457.09	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $95.50	Professional		$21.38	$41.69	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.72 / $26.92	Professional	26	$7.76	$10.72	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $25.70 / $67.61	Professional	TC	$14.79	$25.70	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $213.80 / $251.19	Facility		$93.33	$213.80	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $61.66	Professional		$26.30	$34.67	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $19.05	Professional	26	$7.24	$10.23	$19.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $32.36	Professional	TC	$17.38	$24.55	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $323.59 / $575.44	Facility		$93.33	$323.59	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $64.57	Professional		$23.99	$41.69	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $15.49 / $18.62	Professional	26	$7.41	$15.49	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $36.31 / $47.86	Professional	TC	$16.60	$36.31	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $48.98	Professional		$24.55	$33.88	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $16.60	Professional	26	$7.94	$10.23	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $39.81	Professional	TC	$16.98	$24.55	$39.81