Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $194.16 / $355.43	Facility		$55.89	$194.16	$355.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.55 / $91.55 / $167.60	Facility	26	$91.55	$91.55	$167.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $117.93 / $117.93	Professional		$107.12	$117.93	$117.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.19 / $67.14 / $254.48	Professional	26	$52.19	$67.14	$254.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.94 / $64.34 / $64.34	Professional	TC	$54.94	$64.34	$64.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $171.75 / $254.25	Professional		$171.75	$171.75	$254.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.00 / $67.14 / $95.70	Professional	26	$47.00	$67.14	$95.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.23 / $88.92 / $104.61	Professional	TC	$73.23	$88.92	$104.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.75 / $141.75 / $141.75	Facility		$141.75	$141.75	$141.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $192.54 / $302.48	Professional		$82.85	$192.54	$302.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $96.51 / $119.33	Professional	26	$36.11	$96.51	$119.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.85 / $97.59 / $187.84	Professional	TC	$44.85	$97.59	$187.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $163.69 / $240.96	Professional		$42.81	$163.69	$240.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.50 / $84.55 / $113.83	Professional	26	$35.50	$84.55	$113.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $95.31 / $127.13	Professional	TC	$29.39	$95.31	$127.13