Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $346.74 / $851.14	Facility		$117.49	$346.74	$851.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $37.15 / $95.50	Facility	26	$23.99	$37.15	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $295.12	Professional		$72.44	$117.49	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $34.67 / $91.20	Professional	26	$22.91	$34.67	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $85.11 / $177.83	Professional	TC	$50.12	$85.11	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $199.53 / $489.78	Facility		$70.79	$199.53	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $223.87	Professional		$66.07	$107.15	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $33.11 / $61.66	Professional	26	$18.62	$33.11	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $72.44 / $173.78	Professional	TC	$41.69	$72.44	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $181.97 / $446.68	Facility		$40.74	$181.97	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $36.31 / $114.82	Facility	26	$6.46	$36.31	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $323.59	Professional		$79.43	$141.25	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $38.90 / $77.62	Professional	26	$22.39	$38.90	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $104.71 / $251.19	Professional	TC	$53.70	$104.71	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $56.23 / $77.62	Facility		$17.78	$56.23	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $204.17	Professional		$69.18	$104.71	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.18 / $53.70	Professional	26	$21.88	$28.18	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $77.62 / $154.88	Professional	TC	$43.65	$77.62	$154.88