Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $108.66 / $167.66	Facility		$79.43	$108.66	$167.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.94 / $24.94 / $24.94	Facility	26	$24.94	$24.94	$24.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $66.20 / $117.93	Professional		$46.09	$66.20	$117.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $24.58 / $65.33	Professional	26	$17.07	$24.58	$65.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.22 / $43.02 / $78.14	Professional	TC	$31.22	$43.02	$78.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Facility		$32.15	$32.15	$32.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $67.06 / $131.49	Professional		$28.32	$67.06	$131.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $26.07 / $46.73	Professional	26	$9.50	$26.07	$46.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $41.77 / $84.72	Professional	TC	$19.73	$41.77	$84.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $91.00 / $111.68	Facility		$84.24	$91.00	$111.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.15 / $47.15 / $47.15	Facility	26	$47.15	$47.15	$47.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $60.82 / $120.47	Professional		$32.65	$60.82	$120.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $21.80 / $45.33	Professional	26	$11.01	$21.80	$45.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $34.54 / $77.69	Professional	TC	$19.80	$34.54	$77.69
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $61.65 / $117.95	Professional		$37.90	$61.65	$117.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.02 / $22.99 / $46.38	Professional	26	$14.02	$22.99	$46.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $37.20 / $73.88	Professional	TC	$23.82	$37.20	$73.88