Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $213.80 / $758.58	Facility		$67.61	$213.80	$758.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $37.15 / $104.71	Facility	26	$20.89	$37.15	$104.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $74.13 / $218.78 / $524.81	Facility	TC	$74.13	$218.78	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $562.34	Professional		$67.61	$125.89	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $75.86 / $309.03	Professional	26	$21.88	$75.86	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $83.18 / $309.03	Professional	TC	$53.70	$83.18	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $141.25	Facility		$57.54	$57.54	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $223.87	Professional		$34.67	$69.18	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $28.18 / $61.66	Professional	26	$11.22	$28.18	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $38.02 / $165.96	Professional	TC	$6.76	$38.02	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $181.97 / $870.96	Facility		$48.98	$181.97	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $34.67 / $54.95	Facility	26	$6.92	$34.67	$54.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $95.50 / $162.18	Facility	TC	$20.42	$95.50	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $194.98	Professional		$44.67	$89.13	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $25.70 / $53.70	Professional	26	$12.59	$25.70	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $64.57 / $151.36	Professional	TC	$32.36	$64.57	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $47.86 / $79.43	Facility		$14.79	$47.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $208.93	Professional		$56.23	$93.33	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.30 / $54.95	Professional	26	$15.49	$26.30	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $67.61 / $154.88	Professional	TC	$40.74	$67.61	$154.88