Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $219.60 / $290.85	Facility		$129.22	$219.60	$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 $129.22 / $147.88 / $290.85	Facility	TC	$129.22	$147.88	$290.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $31.00 / $60.46	Professional		$19.73	$31.00	$60.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.97 / $49.45	Professional	26	$6.42	$8.97	$49.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.43 / $11.62 / $15.61	Professional	52	$11.43	$11.62	$15.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $22.24 / $31.28	Professional	TC	$16.45	$22.24	$31.28
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 $37.61 / $42.19 / $65.70	Professional		$37.61	$42.19	$65.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.91 / $18.00	Professional	26	$6.94	$9.91	$18.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.60 / $32.28 / $32.92	Professional	TC	$22.60	$32.28	$32.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $173.34 / $304.72	Facility		$120.88	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $51.15 / $75.61	Professional		$29.13	$51.15	$75.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $11.98 / $17.16	Professional	26	$7.16	$11.98	$17.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $39.18 / $59.13	Professional	TC	$22.08	$39.18	$59.13
United Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $41.37 / $64.27	Professional		$23.80	$41.37	$64.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $10.71 / $18.05	Professional	26	$7.28	$10.71	$18.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.95 / $30.86 / $61.94	Professional	TC	$17.95	$30.86	$61.94