Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $198.91 / $414.78	Facility		$107.97	$198.91	$414.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.95 / $29.28 / $36.90	Facility	26	$25.95	$29.28	$36.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $111.17 / $165.41 / $222.27	Facility	TC	$111.17	$165.41	$222.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $100.34 / $213.15	Professional		$76.91	$100.34	$213.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $33.85 / $136.54	Professional	26	$20.09	$33.85	$136.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.18 / $80.73 / $150.60	Professional	TC	$57.18	$80.73	$150.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $57.88 / $57.88	Facility		$57.88	$57.88	$57.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $113.15 / $192.47	Professional		$39.74	$113.15	$192.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $28.19 / $52.10	Professional	26	$11.23	$28.19	$52.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $82.22 / $152.76	Professional	TC	$28.51	$82.22	$152.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.18 / $142.18 / $180.72	Facility		$142.18	$142.18	$180.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.57 / $45.57 / $45.57	Facility	26	$45.57	$45.57	$45.57
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $135.15 / $135.15 / $135.15	Facility	TC	$135.15	$135.15	$135.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $86.35 / $180.43	Professional		$45.71	$86.35	$180.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $25.91 / $52.07	Professional	26	$12.76	$25.91	$52.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $56.66 / $133.97	Professional	TC	$33.97	$56.66	$133.97
United Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $55.17 / $55.17	Facility		$55.17	$55.17	$55.17
United Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $89.09 / $197.50	Professional		$58.83	$89.09	$197.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $27.13 / $50.63	Professional	26	$16.14	$27.13	$50.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.00 / $71.45 / $139.43	Professional	TC	$43.00	$71.45	$139.43