Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $207.41 / $405.86	Facility		$97.68	$207.41	$405.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.55 / $55.55 / $55.55	Facility	26	$55.55	$55.55	$55.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $121.79 / $252.70 / $259.37	Facility	TC	$121.79	$252.70	$259.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $27.18 / $90.90	Professional		$22.16	$27.18	$90.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.08 / $45.83	Professional	26	$7.03	$9.08	$45.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $18.10 / $20.50	Professional	TC	$15.12	$18.10	$20.50
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 $33.49 / $37.54 / $52.77	Professional		$33.49	$37.54	$52.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.75 / $17.63	Professional	26	$7.53	$10.75	$17.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $26.81 / $35.14	Professional	TC	$18.77	$26.81	$35.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Facility		$98.27	$98.27	$98.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $45.53 / $61.69	Professional		$27.04	$45.53	$61.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $12.97 / $18.57	Professional	26	$7.65	$12.97	$18.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $32.56 / $44.79	Professional	TC	$18.39	$32.56	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $37.01 / $67.42	Professional		$24.80	$37.01	$67.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $11.59 / $24.52	Professional	26	$8.59	$11.59	$24.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.42 / $47.88	Professional	TC	$16.98	$25.42	$47.88