Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $227.15 / $312.00	Facility		$124.09	$227.15	$312.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.95 / $34.95 / $63.98	Facility	26	$34.95	$34.95	$63.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $89.14 / $163.16 / $979.04	Facility	TC	$89.14	$163.16	$979.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $77.22 / $83.80	Professional		$77.22	$77.22	$83.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $39.96 / $136.54	Professional	26	$19.98	$39.96	$136.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.62 / $56.62 / $63.82	Professional	TC	$56.62	$56.62	$63.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $112.16 / $167.04	Professional		$112.16	$112.16	$167.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $25.57 / $35.83	Professional	26	$17.89	$25.57	$35.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.61 / $86.59 / $86.59	Professional	TC	$60.61	$86.59	$86.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.27 / $124.27 / $124.27	Facility		$124.27	$124.27	$124.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $66.42 / $197.66	Professional		$1.27	$66.42	$197.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $37.43 / $49.35	Professional	26	$13.52	$37.43	$49.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.39 / $51.78 / $155.53	Professional	TC	$39.39	$51.78	$155.53
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $111.91 / $154.96	Professional		$35.72	$111.91	$154.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $31.69 / $43.44	Professional	26	$13.82	$31.69	$43.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $83.27 / $116.33	Professional	TC	$24.35	$83.27	$116.33