Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $378.64 / $533.22	Facility		$115.60	$378.64	$533.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.27 / $177.27 / $177.27	Facility	26	$177.27	$177.27	$177.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $188.63 / $378.64 / $480.11	Facility	TC	$188.63	$378.64	$480.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $107.06 / $581.00	Professional		$72.69	$107.06	$581.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.38 / $164.90	Professional	26	$21.88	$28.38	$164.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.80 / $78.68 / $87.65	Professional	TC	$50.80	$78.68	$87.65
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 $92.30 / $108.59 / $218.31	Professional		$92.30	$108.59	$218.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.01 / $34.29 / $55.28	Professional	26	$24.01	$34.29	$55.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.00 / $74.28 / $74.28	Professional	TC	$52.00	$74.28	$74.28
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 $84.90 / $130.12 / $186.01	Professional		$84.90	$130.12	$186.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.23 / $40.89 / $59.31	Professional	26	$26.23	$40.89	$59.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.38 / $89.62 / $128.13	Professional	TC	$58.38	$89.62	$128.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $93.73 / $165.42	Professional		$74.38	$93.73	$165.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.58 / $35.94 / $54.72	Professional	26	$26.58	$35.94	$54.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.38 / $79.02 / $114.78	Professional	TC	$53.38	$79.02	$114.78