Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $142.19 / $183.00	Facility		$90.53	$142.19	$183.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.83 / $35.83 / $65.58	Facility	26	$35.83	$35.83	$65.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $54.69 / $54.69 / $100.12	Facility	TC	$54.69	$54.69	$100.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $79.68	Professional		$50.37	$50.37	$79.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $43.06 / $50.26	Professional	26	$21.10	$43.06	$50.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $29.26 / $36.63	Professional	TC	$29.26	$29.26	$36.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $67.84 / $185.86	Professional		$67.84	$67.84	$185.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $26.57 / $68.84	Professional	26	$18.60	$26.57	$68.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.90 / $35.09 / $41.28	Professional	TC	$28.90	$35.09	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $69.31	Facility		$69.31	$69.31	$69.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $90.30 / $119.38	Professional		$35.08	$90.30	$119.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $37.65 / $47.31	Professional	26	$0.28	$37.65	$47.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.47 / $23.86 / $74.14	Professional	TC	$0.47	$23.86	$74.14
United Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $89.15 / $125.10	Professional		$54.88	$89.15	$125.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.76 / $35.52 / $57.86	Professional	26	$29.76	$35.52	$57.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.93 / $46.63 / $66.59	Professional	TC	$24.93	$46.63	$66.59