Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $181.97 / $407.38	Facility		$177.83	$181.97	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $104.71 / $138.04 / $251.19	Facility	TC	$104.71	$138.04	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $100.00	Professional		$21.88	$47.86	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $28.84	Professional	26	$7.08	$15.49	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $63.10	Professional	TC	$15.14	$25.12	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $194.98	Facility		$93.33	$138.04	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $61.66	Professional		$30.90	$40.74	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $17.38	Professional	26	$7.24	$10.23	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.20 / $40.74	Professional	TC	$21.38	$30.20	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $302.00	Facility		$114.82	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $67.61	Professional		$25.12	$48.98	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $18.20	Professional	26	$7.08	$15.49	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $39.81 / $57.54	Professional	TC	$17.38	$39.81	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $56.23	Professional		$26.92	$36.31	$56.23
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 $19.50 / $28.84 / $47.86	Professional	TC	$19.50	$28.84	$47.86