Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $192.25 / $236.55	Facility		$180.00	$192.25	$236.55
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 $125.00 / $236.55 / $473.10	Facility	TC	$125.00	$236.55	$473.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $30.50 / $101.70	Professional		$21.26	$30.50	$101.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $7.81 / $40.45	Professional	26	$6.26	$7.81	$40.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.63 / $14.23 / $14.24	Professional	52	$10.63	$14.23	$14.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $20.53 / $23.59	Professional	TC	$15.00	$20.53	$23.59
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 $35.75 / $40.09 / $58.83	Professional		$35.75	$40.09	$58.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $9.50 / $15.82	Professional	26	$6.65	$9.50	$15.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $30.59 / $31.21	Professional	TC	$21.41	$30.59	$31.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $173.34 / $304.72	Facility		$114.44	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $48.61 / $64.47	Professional		$27.72	$48.61	$64.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $11.47 / $17.16	Professional	26	$6.77	$11.47	$17.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $37.14 / $56.09	Professional	TC	$20.95	$37.14	$56.09
United Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $34.69 / $61.11	Professional		$20.73	$34.69	$61.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $10.70 / $17.30	Professional	26	$7.28	$10.70	$17.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $29.51 / $54.58	Professional	TC	$16.19	$29.51	$54.58