Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $273.60 / $412.75	Facility		$120.21	$273.60	$412.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.37 / $68.37 / $68.37	Facility	26	$68.37	$68.37	$68.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $206.66 / $298.41 / $581.70	Facility	TC	$206.66	$298.41	$581.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $47.84 / $149.40	Professional		$31.26	$47.84	$149.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.01 / $29.75	Professional	26	$8.39	$11.01	$29.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $29.60 / $45.19	Professional	TC	$24.35	$29.60	$45.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.64 / $155.88 / $197.47	Facility		$108.64	$155.88	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $59.80 / $120.86	Professional		$50.83	$59.80	$120.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.24 / $14.98	Professional	26	$9.27	$13.24	$14.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.59 / $46.55 / $46.55	Professional	TC	$32.59	$46.55	$46.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $173.34 / $304.72	Facility		$167.72	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $70.93 / $95.64	Professional		$40.84	$70.93	$95.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $15.97 / $22.89	Professional	26	$9.42	$15.97	$22.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.42 / $54.96 / $75.02	Professional	TC	$31.42	$54.96	$75.02
United Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $57.41 / $106.98	Professional		$37.29	$57.41	$106.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $14.27 / $23.02	Professional	26	$10.57	$14.27	$23.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.73 / $43.14 / $70.51	Professional	TC	$26.73	$43.14	$70.51