Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.60 / $247.20 / $290.85	Facility		$132.60	$247.20	$290.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $139.21 / $290.85 / $290.85	Facility	TC	$139.21	$290.85	$290.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $29.47 / $70.01	Professional		$19.17	$29.47	$70.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.60 / $44.56	Professional	26	$6.67	$8.60	$44.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.87 / $23.28	Professional	TC	$14.13	$20.87	$23.28
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 $35.39 / $40.09 / $59.48	Professional		$35.39	$40.09	$59.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $9.50 / $16.47	Professional	26	$6.65	$9.50	$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 $112.82 / $173.34 / $304.72	Facility		$112.82	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $48.10 / $63.74	Professional		$28.21	$48.10	$63.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.88 / $11.47 / $17.16	Professional	26	$6.88	$11.47	$17.16
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 / $38.09 / $61.11	Professional		$26.98	$38.09	$61.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.71 / $16.48	Professional	26	$7.59	$10.71	$16.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $29.05 / $46.39	Professional	TC	$18.55	$29.05	$46.39