Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $226.80 / $243.58	Facility		$179.46	$226.80	$243.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.92 / $46.92 / $46.92	Facility	26	$46.92	$46.92	$46.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $121.79 / $232.75 / $238.85	Facility	TC	$121.79	$232.75	$238.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $29.34 / $85.00	Professional		$20.10	$29.34	$85.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $7.59 / $43.17	Professional	26	$5.68	$7.59	$43.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.05 / $13.61 / $13.72	Professional	52	$10.05	$13.61	$13.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.42 / $19.84 / $21.92	Professional	TC	$14.42	$19.84	$21.92
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 $31.26 / $35.46 / $56.14	Professional		$31.26	$35.46	$56.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $9.08 / $14.48	Professional	26	$6.36	$9.08	$14.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $26.39 / $26.69	Professional	TC	$18.47	$26.39	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $173.34 / $304.72	Facility		$98.27	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $42.50 / $57.81	Professional		$25.65	$42.50	$57.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $10.96 / $15.71	Professional	26	$6.49	$10.96	$15.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.12 / $31.54 / $47.72	Professional	TC	$18.12	$31.54	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $35.21 / $66.48	Professional		$23.23	$35.21	$66.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.78 / $19.30	Professional	26	$6.94	$9.78	$19.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.10 / $25.42 / $40.04	Professional	TC	$13.10	$25.42	$40.04