Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.02 / $180.42 / $405.86	Facility		$137.02	$180.42	$405.86
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 $136.68 / $137.02 / $250.04	Facility	TC	$136.68	$137.02	$250.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $29.47 / $58.43	Professional		$21.81	$29.47	$58.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $7.78 / $12.84	Professional	26	$6.52	$7.78	$12.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.21 / $23.45	Professional	TC	$15.29	$21.21	$23.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $40.93 / $58.80	Professional		$36.11	$40.93	$58.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.33 / $16.47	Professional	26	$7.23	$10.33	$16.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $30.59 / $30.79	Professional	TC	$21.41	$30.59	$30.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $173.34 / $304.72	Facility		$111.21	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $49.10 / $63.72	Professional		$28.21	$49.10	$63.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $12.47 / $17.87	Professional	26	$7.35	$12.47	$17.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.66 / $36.63 / $55.33	Professional	TC	$20.66	$36.63	$55.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $39.74 / $62.39	Professional		$26.98	$39.74	$62.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $11.15 / $17.96	Professional	26	$7.93	$11.15	$17.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $28.59 / $54.60	Professional	TC	$18.89	$28.59	$54.60