Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.36 / $362.89 / $830.93	Facility		$114.36	$362.89	$830.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.87 / $32.83 / $61.06	Facility	26	$25.87	$32.83	$61.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $107.29 / $227.46	Professional		$67.84	$107.29	$227.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $28.94 / $67.79	Professional	26	$23.78	$28.94	$67.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.57 / $77.61 / $151.54	Professional	TC	$48.57	$77.61	$151.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $240.99 / $395.51	Facility		$115.07	$240.99	$395.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $112.42 / $191.42	Professional		$79.68	$112.42	$191.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $33.79 / $51.62	Professional	26	$25.55	$33.79	$51.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.48 / $85.40 / $144.99	Professional	TC	$55.48	$85.40	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.98 / $188.58 / $298.20	Facility		$158.98	$188.58	$298.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.62 / $61.84 / $69.46	Facility	26	$53.62	$61.84	$69.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $130.18 / $236.55	Professional		$83.80	$130.18	$236.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $36.54 / $59.30	Professional	26	$24.28	$36.54	$59.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.21 / $99.02 / $169.33	Professional	TC	$56.21	$99.02	$169.33
United Facility/Professional Facility Modifier Low / Median / High Price $370.75 / $370.75 / $370.75	Facility		$370.75	$370.75	$370.75
United Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $111.09 / $210.02	Professional		$73.91	$111.09	$210.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $31.13 / $54.05	Professional	26	$25.02	$31.13	$54.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.25 / $81.56 / $151.94	Professional	TC	$48.25	$81.56	$151.94