Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.49 / $280.36 / $616.61	Facility		$161.49	$280.36	$616.61
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.47 / $77.98 / $86.51	Facility	26	$69.47	$77.98	$86.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $134.71 / $287.95	Professional		$109.21	$134.71	$287.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.18 / $69.27 / $274.75	Professional	26	$53.18	$69.27	$274.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $72.23 / $152.13	Professional	TC	$61.86	$72.23	$152.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $146.83 / $283.83	Professional		$63.22	$146.83	$283.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $79.69 / $133.76	Professional	26	$29.95	$79.69	$133.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.26 / $64.77 / $164.80	Professional	TC	$33.26	$64.77	$164.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $164.00 / $228.07	Facility		$164.00	$164.00	$228.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.28 / $115.28 / $115.28	Facility	26	$115.28	$115.28	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $132.66 / $272.22	Professional		$73.81	$132.66	$272.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.53 / $67.86 / $136.55	Professional	26	$33.53	$67.86	$136.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.34 / $61.16 / $148.34	Professional	TC	$36.34	$61.16	$148.34
United Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $59.58 / $59.58	Facility		$59.58	$59.58	$59.58
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $148.32 / $283.23	Professional		$89.13	$148.32	$283.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.91 / $71.13 / $132.61	Professional	26	$42.91	$71.13	$132.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.83 / $72.81 / $145.02	Professional	TC	$45.83	$72.81	$145.02