Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $421.20 / $421.20	Facility		$73.16	$421.20	$421.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.46 / $87.46 / $87.46	Facility	26	$87.46	$87.46	$87.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $34.71 / $50.72	Professional		$24.85	$34.71	$50.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.87 / $76.33	Professional	26	$10.72	$14.87	$76.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.84 / $28.15	Professional	TC	$14.13	$19.84	$28.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $75.75 / $89.68	Facility		$59.02	$75.75	$89.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $47.91 / $72.09	Professional		$40.72	$47.91	$72.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $16.48 / $28.43	Professional	26	$11.54	$16.48	$28.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $31.28 / $31.43	Professional	TC	$22.00	$31.28	$31.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $91.58 / $91.58	Facility		$91.58	$91.58	$91.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.11 / $74.42	Professional		$33.11	$54.11	$74.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $19.91 / $29.27	Professional	26	$11.42	$19.91	$29.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $35.70 / $47.24	Professional	TC	$20.43	$35.70	$47.24
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $46.42 / $74.19	Professional		$29.20	$46.42	$74.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $18.26 / $27.20	Professional	26	$12.93	$18.26	$27.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $28.16 / $47.67	Professional	TC	$17.03	$28.16	$47.67