Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $125.57 / $455.99	Facility		$21.59	$125.57	$455.99
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.86 / $39.86 / $53.82	Facility	26	$39.86	$39.86	$53.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $61.46 / $82.23	Professional		$31.45	$61.46	$82.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $39.86 / $48.32	Professional	26	$19.84	$39.86	$48.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.61 / $21.59 / $36.89	Professional	TC	$11.61	$21.59	$36.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.62 / $178.55 / $240.41	Facility		$147.62	$178.55	$240.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $105.95 / $125.02	Professional		$74.17	$105.95	$125.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.45 / $53.50 / $63.13	Professional	26	$37.45	$53.50	$63.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.72 / $52.45 / $61.89	Professional	TC	$36.72	$52.45	$61.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $137.19 / $276.72	Facility		$81.05	$137.19	$276.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.84 / $52.84 / $52.84	Facility	26	$52.84	$52.84	$52.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $99.63 / $207.57	Professional		$39.94	$99.63	$207.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $58.94 / $150.57	Professional	26	$25.80	$58.94	$150.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.39 / $43.52 / $105.76	Professional	TC	$14.39	$43.52	$105.76
United Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $217.94 / $224.16	Facility		$98.07	$217.94	$224.16
United Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $53.77 / $120.31	Professional		$40.33	$53.77	$120.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.09 / $32.11 / $61.58	Professional	26	$24.09	$32.11	$61.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.80 / $21.65 / $58.14	Professional	TC	$15.80	$21.65	$58.14