Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Facility		$602.56	$602.56	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $275.42	Professional		$72.44	$100.00	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $34.67 / $93.33	Professional	26	$20.42	$34.67	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $57.54 / $128.82	Professional	TC	$50.12	$57.54	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $1,000.00	Facility		$218.78	$407.38	$1,000.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $257.04	Professional		$117.49	$144.54	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $40.74 / $93.33	Professional	26	$34.67	$40.74	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $91.20 / $112.20	Professional	TC	$91.20	$91.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $501.19	Professional		$89.13	$141.25	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $38.02 / $112.20	Professional	26	$19.50	$38.02	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $102.33 / $181.97	Professional	TC	$63.10	$102.33	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $288.40	Professional		$95.50	$120.23	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $72.44	Professional	26	$26.92	$34.67	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $91.20 / $213.80	Professional	TC	$64.57	$91.20	$213.80