Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $290.85 / $298.58	Facility		$179.46	$290.85	$298.58
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 $242.58 / $290.85 / $298.58	Facility	TC	$242.58	$290.85	$298.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $28.48 / $83.82	Professional		$18.12	$28.48	$83.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $7.60 / $39.29	Professional	26	$6.16	$7.60	$39.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $20.44 / $23.06	Professional	TC	$15.29	$20.44	$23.06
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 $32.39 / $36.72 / $58.18	Professional		$32.39	$36.72	$58.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.91 / $15.17	Professional	26	$6.94	$9.91	$15.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $26.81 / $26.94	Professional	TC	$18.77	$26.81	$26.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $173.34 / $304.72	Facility		$98.27	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $44.02 / $59.90	Professional		$26.57	$44.02	$59.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $11.98 / $17.16	Professional	26	$7.05	$11.98	$17.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.12 / $32.04 / $48.48	Professional	TC	$18.12	$32.04	$48.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $34.72 / $65.92	Professional		$23.92	$34.72	$65.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.80 / $17.28	Professional	26	$6.94	$9.80	$17.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $25.42 / $47.87	Professional	TC	$17.14	$25.42	$47.87