Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $354.81 / $616.60	Facility		$131.83	$354.81	$616.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $131.83 / $630.96	Professional		$48.98	$131.83	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $51.29 / $147.91	Professional	26	$26.30	$51.29	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $46.77 / $186.21	Professional	TC	$20.89	$46.77	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $131.83 / $141.25	Facility		$117.49	$131.83	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $151.36	Professional		$51.29	$67.61	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $77.62	Professional	26	$23.99	$33.88	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.11 / $72.44	Professional	TC	$23.44	$33.11	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $251.19	Professional		$64.57	$120.23	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $66.07	Professional	26	$28.84	$44.67	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $52.48 / $208.93	Professional	TC	$27.54	$52.48	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $169.82	Professional		$58.88	$95.50	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.02 / $58.88	Professional	26	$30.20	$38.02	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $42.66 / $138.04	Professional	TC	$24.55	$42.66	$138.04