Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $407.38 / $933.25	Facility		$97.72	$407.38	$933.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $36.31 / $100.00	Facility	26	$25.12	$36.31	$100.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $64.57 / $234.42 / $758.58	Facility	TC	$64.57	$234.42	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $446.68	Professional		$72.44	$123.03	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $42.66 / $120.23	Professional	26	$25.12	$42.66	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $79.43 / $213.80	Professional	TC	$48.98	$79.43	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $194.98 / $398.11	Facility		$79.43	$194.98	$398.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	TC	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $194.98	Professional		$81.28	$107.15	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $37.15 / $63.10	Professional	26	$27.54	$37.15	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $72.44 / $131.83	Professional	TC	$53.70	$72.44	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $416.87	Facility		$91.20	$177.83	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $36.31 / $89.13	Facility	26	$6.76	$36.31	$89.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $13.80 / $72.44 / $199.53	Facility	TC	$13.80	$72.44	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $239.88	Professional		$74.13	$120.23	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.02 / $74.13	Professional	26	$22.91	$38.02	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $83.18 / $165.96	Professional	TC	$50.12	$83.18	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $134.90 / $309.03	Facility		$58.88	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $181.97	Professional		$74.13	$102.33	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $31.62 / $57.54	Professional	26	$23.44	$31.62	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $69.18 / $125.89	Professional	TC	$50.12	$69.18	$125.89