Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.69 / $337.53 / $355.10	Facility		$278.69	$337.53	$355.10
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 $174.05 / $458.85 / $458.85	Facility	TC	$174.05	$458.85	$458.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $38.90 / $92.69	Professional		$31.28	$38.90	$92.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $10.82 / $16.51	Professional	26	$8.68	$10.82	$16.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.60 / $27.48 / $33.04	Professional	TC	$22.60	$27.48	$33.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.92 / $218.92 / $254.15	Facility		$179.92	$218.92	$254.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $51.81 / $106.12	Professional		$44.04	$51.81	$106.12
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 $27.01 / $38.58 / $38.58	Professional	TC	$27.01	$38.58	$38.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $326.44 / $573.86	Facility		$141.87	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $62.28 / $83.96	Professional		$37.31	$62.28	$83.96
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 $26.04 / $46.30 / $63.34	Professional	TC	$26.04	$46.30	$63.34
United Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $50.49 / $92.82	Professional		$35.71	$50.49	$92.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $13.08 / $20.42	Professional	26	$10.48	$13.08	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.82 / $36.32 / $68.79	Professional	TC	$24.82	$36.32	$68.79