Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $281.84 / $933.25	Facility		$58.88	$281.84	$933.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $51.29 / $147.91	Facility	26	$29.51	$51.29	$147.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $47.86 / $245.47 / $954.99	Facility	TC	$47.86	$245.47	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $676.08	Professional		$56.23	$95.50	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $120.23 / $851.14	Professional	26	$33.88	$120.23	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $66.07 / $524.81	Professional	TC	$25.70	$66.07	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $208.93	Professional		$42.66	$93.33	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $50.12 / $107.15	Professional	26	$23.99	$50.12	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $43.65 / $109.65	Professional	TC	$18.20	$43.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $144.54 / $549.54	Facility		$48.98	$144.54	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $54.95 / $93.33	Facility	26	$11.75	$54.95	$93.33
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $10.23 / $53.70 / $81.28	Facility	TC	$10.23	$53.70	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $173.78	Professional		$33.88	$75.86	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $36.31 / $83.18	Professional	26	$17.78	$36.31	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $36.31 / $91.20	Professional	TC	$15.85	$36.31	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.11 / $56.23	Facility		$19.95	$33.11	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $158.49	Professional		$41.69	$70.79	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $37.15 / $79.43	Professional	26	$21.38	$37.15	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.88 / $81.28	Professional	TC	$18.20	$33.88	$81.28