Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $456.45 / $820.82	Facility		$98.59	$456.45	$820.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.18 / $36.08 / $71.51	Facility	26	$27.18	$36.08	$71.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $70.43 / $276.39 / $574.27	Facility	TC	$70.43	$276.39	$574.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $107.68 / $354.32	Professional		$77.93	$107.68	$354.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $36.21 / $115.89	Professional	26	$25.26	$36.21	$115.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.76 / $74.69 / $153.44	Professional	TC	$51.76	$74.69	$153.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $299.02 / $436.26	Facility		$186.00	$299.02	$436.26
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.13 / $31.13 / $31.13	Facility	26	$31.13	$31.13	$31.13
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $64.75 / $64.75 / $64.75	Facility	TC	$64.75	$64.75	$64.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $102.49 / $176.91	Professional		$82.72	$102.49	$176.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $37.32 / $55.21	Professional	26	$27.19	$37.32	$55.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.01 / $70.62 / $121.80	Professional	TC	$55.01	$70.62	$121.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.75 / $202.85 / $362.98	Facility		$104.75	$202.85	$362.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $31.67 / $31.67	Facility	26	$31.67	$31.67	$31.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $66.73 / $66.73 / $66.73	Facility	TC	$66.73	$66.73	$66.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $121.03 / $198.58	Professional		$78.47	$121.03	$198.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $38.79 / $65.40	Professional	26	$24.42	$38.79	$65.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.27 / $82.89 / $140.52	Professional	TC	$52.27	$82.89	$140.52
United Facility/Professional Facility Modifier Low / Median / High Price $135.50 / $192.93 / $243.73	Facility		$135.50	$192.93	$243.73
United Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $102.51 / $182.00	Professional		$84.83	$102.51	$182.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $32.95 / $61.30	Professional	26	$26.96	$32.95	$61.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.05 / $73.73 / $123.55	Professional	TC	$57.05	$73.73	$123.55