Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.30 / $382.86 / $675.06	Facility		$265.30	$382.86	$675.06
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 $132.65 / $382.86 / $446.50	Facility	TC	$132.65	$382.86	$446.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $27.77 / $81.56	Professional		$20.39	$27.77	$81.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $7.81 / $42.50	Professional	26	$6.26	$7.81	$42.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.19 / $13.89 / $13.89	Professional	52	$10.19	$13.89	$13.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.84 / $22.33	Professional	TC	$14.13	$19.84	$22.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $218.05 / $254.15	Facility		$93.37	$218.05	$254.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $39.25 / $56.14	Professional		$34.63	$39.25	$56.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.91 / $15.82	Professional	26	$6.94	$9.91	$15.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $29.33 / $29.50	Professional	TC	$20.53	$29.33	$29.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $326.44 / $573.86	Facility		$107.96	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $47.08 / $61.55	Professional		$26.97	$47.08	$61.55
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 $20.10 / $35.10 / $53.05	Professional	TC	$20.10	$35.10	$53.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $38.39 / $59.83	Professional		$23.47	$38.39	$59.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $10.70 / $17.28	Professional	26	$6.94	$10.70	$17.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $23.88 / $44.48	Professional	TC	$16.19	$23.88	$44.48