Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.50 / $358.41 / $578.91	Facility		$131.50	$358.41	$578.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $192.05 / $192.05 / $192.05	Facility	26	$192.05	$192.05	$192.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $198.25 / $882.00	Professional		$46.35	$198.25	$882.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $32.69 / $161.00	Professional	26	$24.37	$32.69	$161.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $150.53 / $170.39	Professional	TC	$21.99	$150.53	$170.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.36 / $127.41 / $141.28	Facility		$114.36	$127.41	$141.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $67.78 / $411.36	Professional		$57.61	$67.78	$411.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.95 / $34.22 / $63.23	Professional	26	$23.95	$34.22	$63.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $33.56 / $33.56	Professional	TC	$23.49	$33.56	$33.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.77 / $116.77 / $116.77	Facility		$116.77	$116.77	$116.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $106.94 / $185.94	Professional		$64.51	$106.94	$185.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.21 / $44.82 / $64.95	Professional	26	$29.21	$44.82	$64.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.90 / $45.85 / $141.29	Professional	TC	$27.90	$45.85	$141.29
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $91.99 / $166.27	Professional		$58.47	$91.99	$166.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.06 / $40.08 / $58.14	Professional	26	$30.06	$40.08	$58.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $42.92 / $118.28	Professional	TC	$25.99	$42.92	$118.28