Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $370.98 / $577.20	Facility		$115.60	$370.98	$577.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $222.18 / $222.18 / $222.18	Facility	26	$222.18	$222.18	$222.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $380.65 / $383.54 / $740.80	Facility	TC	$380.65	$383.54	$740.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $132.44 / $546.00	Professional		$89.60	$132.44	$546.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.16 / $35.64 / $193.49	Professional	26	$27.16	$35.64	$193.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.80 / $66.23 / $66.59	Professional	52	$44.80	$66.23	$66.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.45 / $96.81 / $99.57	Professional	TC	$62.45	$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 $114.59 / $134.81 / $267.01	Professional		$114.59	$134.81	$267.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.07 / $42.96 / $69.11	Professional	26	$30.07	$42.96	$69.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.30 / $91.85 / $91.85	Professional	TC	$64.30	$91.85	$91.85
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 $103.97 / $162.03 / $231.80	Professional		$103.97	$162.03	$231.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.19 / $50.80 / $74.34	Professional	26	$33.19	$50.80	$74.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.23 / $110.52 / $160.63	Professional	TC	$72.23	$110.52	$160.63
United Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $144.01 / $205.57	Professional		$99.74	$144.01	$205.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $46.37 / $66.45	Professional	26	$32.90	$46.37	$66.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.30 / $93.64 / $141.63	Professional	TC	$66.30	$93.64	$141.63