Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $112.20 / $275.42	Facility		$53.70	$112.20	$275.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $39.81 / $109.65	Facility	26	$22.39	$39.81	$109.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.62 / $109.65 / $281.84	Facility	TC	$31.62	$109.65	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $190.55	Professional		$47.86	$74.13	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $44.67 / $199.53	Professional	26	$19.95	$44.67	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $134.90	Professional	TC	$26.92	$38.90	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $208.93	Professional		$40.74	$72.44	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $34.67 / $109.65	Professional	26	$22.39	$34.67	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $38.02 / $102.33	Professional	TC	$18.62	$38.02	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $158.49 / $309.03	Facility		$51.29	$158.49	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $117.49	Facility	26	$14.45	$67.61	$117.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $11.48 / $53.70 / $91.20	Facility	TC	$11.48	$53.70	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $173.78	Professional		$32.36	$67.61	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $30.90 / $85.11	Professional	26	$13.18	$30.90	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $37.15 / $87.10	Professional	TC	$18.62	$37.15	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $54.95	Facility		$16.60	$33.11	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $154.88	Professional		$39.81	$69.18	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $29.51 / $69.18	Professional	26	$16.60	$29.51	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $83.18	Professional	TC	$22.39	$38.02	$83.18