Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.49 / $455.00 / $747.02	Facility		$302.49	$455.00	$747.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $247.71 / $247.71 / $247.71	Facility	26	$247.71	$247.71	$247.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $135.74 / $768.00	Professional		$97.36	$135.74	$768.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.97 / $38.50 / $144.47	Professional	26	$29.97	$38.50	$144.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.39 / $96.81 / $99.57	Professional	TC	$67.39	$96.81	$99.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $242.77 / $332.59	Facility		$205.07	$242.77	$332.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $144.44 / $282.29	Professional		$122.77	$144.44	$282.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.99 / $47.13 / $75.66	Professional	26	$32.99	$47.13	$75.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.12 / $97.31 / $97.31	Professional	TC	$68.12	$97.31	$97.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.22 / $326.44 / $573.86	Facility		$79.22	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $175.89 / $251.10	Professional		$112.23	$175.89	$251.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $55.75 / $82.88	Professional	26	$36.97	$55.75	$82.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.97 / $118.67 / $168.22	Professional	TC	$76.97	$118.67	$168.22
United Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $144.28 / $221.32	Professional		$103.34	$144.28	$221.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $46.69 / $72.81	Professional	26	$36.04	$46.69	$72.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.86 / $104.91 / $152.19	Professional	TC	$70.86	$104.91	$152.19