Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $630.96 / $977.24	Facility		$109.65	$630.96	$977.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $257.04	Professional		$93.33	$125.89	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.02 / $67.61	Professional	26	$22.91	$38.02	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $95.50 / $194.98	Professional	TC	$72.44	$95.50	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $436.52	Professional		$281.84	$436.52	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $107.15 / $107.15	Professional	26	$69.18	$107.15	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $331.13 / $331.13	Professional	TC	$213.80	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $338.84	Professional		$95.50	$194.98	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $79.43	Professional	26	$26.92	$46.77	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $134.90 / $263.03	Professional	TC	$70.79	$134.90	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $389.05	Professional		$97.72	$208.93	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $51.29 / $91.20	Professional	26	$26.92	$51.29	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $154.88 / $288.40	Professional	TC	$70.79	$154.88	$288.40