Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $99.28 / $168.33	Facility		$62.93	$99.28	$168.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.41 / $30.78 / $40.65	Facility	26	$25.41	$30.78	$40.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $45.92 / $57.32 / $98.05	Facility	TC	$45.92	$57.32	$98.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $60.07 / $111.24	Professional		$50.37	$60.07	$111.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $30.42 / $88.56	Professional	26	$20.19	$30.42	$88.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.52 / $37.84 / $61.79	Professional	TC	$28.52	$37.84	$61.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $98.63 / $98.63	Facility		$98.63	$98.63	$98.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $74.66 / $150.83	Professional		$40.98	$74.66	$150.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $32.04 / $80.97	Professional	26	$22.46	$32.04	$80.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $43.43 / $82.03	Professional	TC	$18.52	$43.43	$82.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $79.39 / $134.28	Facility		$77.63	$79.39	$134.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.71 / $97.18 / $97.18	Facility	26	$90.71	$97.18	$97.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $76.69 / $76.69 / $76.69	Facility	TC	$76.69	$76.69	$76.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $67.09 / $159.66	Professional		$33.90	$67.09	$159.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $30.13 / $82.12	Professional	26	$13.94	$30.13	$82.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $35.63 / $74.98	Professional	TC	$19.48	$35.63	$74.98
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $68.56 / $149.75	Professional		$41.14	$68.56	$149.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $28.87 / $65.43	Professional	26	$17.32	$28.87	$65.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $37.11 / $78.11	Professional	TC	$23.82	$37.11	$78.11