Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $242.58 / $336.52	Facility		$129.22	$242.58	$336.52
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 $236.55 / $265.20 / $473.10	Facility	TC	$236.55	$265.20	$473.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $34.40 / $82.05	Professional		$12.10	$34.40	$82.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.68 / $44.75	Professional	26	$6.67	$8.68	$44.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $26.00 / $29.64	Professional	TC	$17.91	$26.00	$29.64
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 / $68.20	Professional		$36.11	$40.93	$68.20
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 $28.45 / $49.10 / $72.47	Professional		$28.45	$49.10	$72.47
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 $20.95 / $36.63 / $55.33	Professional	TC	$20.95	$36.63	$55.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $39.29 / $76.73	Professional		$29.47	$39.29	$76.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $10.19 / $15.98	Professional	26	$7.58	$10.19	$15.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $28.33 / $54.60	Professional	TC	$21.11	$28.33	$54.60