Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $309.03	Facility		$123.03	$229.09	$309.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $64.57 / $64.57	Facility	26	$34.67	$64.57	$64.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $89.13 / $162.18 / $977.24	Facility	TC	$89.13	$162.18	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $288.40 / $602.56	Professional		$83.18	$288.40	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $87.10 / $269.15	Professional	26	$27.54	$87.10	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $95.50 / $281.84	Professional	TC	$56.23	$95.50	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $102.33	Facility		$91.20	$91.20	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $158.49	Professional		$77.62	$112.20	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.70 / $35.48	Professional	26	$17.78	$25.70	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $64.57 / $87.10	Professional	TC	$60.26	$64.57	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $199.53	Professional		$60.26	$134.90	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $37.15 / $48.98	Professional	26	$13.49	$37.15	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $51.29 / $154.88	Professional	TC	$45.71	$51.29	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $112.20 / $154.88	Professional		$35.48	$112.20	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $28.84 / $43.65	Professional	26	$13.80	$28.84	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $83.18 / $112.20	Professional	TC	$24.55	$83.18	$112.20