Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $362.04 / $965.20	Facility		$65.03	$362.04	$965.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.21 / $39.43 / $69.44	Facility	26	$29.21	$39.43	$69.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $103.11 / $287.79	Professional		$50.76	$103.11	$287.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.22 / $33.88 / $120.83	Professional	26	$27.22	$33.88	$120.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $45.60 / $187.42	Professional	TC	$23.03	$45.60	$187.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $211.45 / $294.57	Facility		$104.50	$211.45	$294.57
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.00 / $34.00 / $34.00	Facility	26	$34.00	$34.00	$34.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $76.83 / $173.44	Professional		$55.69	$76.83	$173.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $36.54 / $58.79	Professional	26	$28.87	$36.54	$58.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $39.95 / $127.44	Professional	TC	$28.14	$39.95	$127.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $138.78 / $300.31	Facility		$79.09	$138.78	$300.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $104.33 / $250.90	Professional		$52.23	$104.33	$250.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $42.81 / $71.44	Professional	26	$27.67	$42.81	$71.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $48.13 / $189.37	Professional	TC	$24.12	$48.13	$189.37
United Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $86.16 / $199.83	Professional		$57.92	$86.16	$199.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $35.70 / $61.71	Professional	26	$29.59	$35.70	$61.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $38.59 / $157.59	Professional	TC	$25.20	$38.59	$157.59