Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $76.55 / $222.61	Facility		$50.22	$76.55	$222.61
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.82 / $168.82 / $168.82	Facility	26	$168.82	$168.82	$168.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $75.34 / $111.26	Professional		$72.87	$75.34	$111.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $25.92 / $26.76	Professional	26	$20.61	$25.92	$26.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.57 / $52.26 / $85.34	Professional	TC	$48.57	$52.26	$85.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.62 / $230.54 / $268.62	Facility		$174.62	$230.54	$268.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $142.63 / $157.40	Professional		$124.07	$142.63	$157.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $32.65 / $52.70	Professional	26	$22.86	$32.65	$52.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.98 / $109.99 / $109.99	Professional	TC	$76.98	$109.99	$109.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.94 / $344.94 / $344.94	Facility		$344.94	$344.94	$344.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $156.52 / $221.06	Professional		$88.18	$156.52	$221.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.17 / $38.97 / $56.48	Professional	26	$22.17	$38.97	$56.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.63 / $136.94 / $167.75	Professional	TC	$66.63	$136.94	$167.75
United Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $132.08 / $183.82	Professional		$63.59	$132.08	$183.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.03 / $32.92 / $46.98	Professional	26	$22.03	$32.92	$46.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.56 / $102.64 / $136.84	Professional	TC	$41.56	$102.64	$136.84