Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $208.93 / $389.05	Facility		$93.33	$208.93	$389.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $134.90 / $251.19 / $257.04	Facility	TC	$134.90	$251.19	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $97.72	Professional		$21.88	$43.65	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $45.71	Professional	26	$7.08	$11.75	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.89 / $57.54	Professional	TC	$14.45	$20.89	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Facility		$112.20	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $54.95	Professional		$28.18	$37.15	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.72 / $18.62	Professional	26	$7.59	$10.72	$18.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $37.15	Professional	TC	$18.62	$26.92	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $69.18	Professional		$25.12	$48.98	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $16.22 / $19.05	Professional	26	$7.41	$16.22	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $32.36 / $51.29	Professional	TC	$16.98	$32.36	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $58.88	Professional		$24.55	$34.67	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.72 / $17.38	Professional	26	$8.51	$10.72	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.70 / $42.66	Professional	TC	$16.22	$25.70	$42.66