Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $173.78 / $741.31	Facility		$58.88	$173.78	$741.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $16.60 / $47.86	Facility	26	$9.55	$16.60	$47.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $58.88 / $257.04 / $724.44	Facility	TC	$58.88	$257.04	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $331.13	Professional		$53.70	$89.13	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $42.66 / $147.91	Professional	26	$10.00	$42.66	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $69.18 / $234.42	Professional	TC	$43.65	$69.18	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $52.48 / $169.82	Professional		$23.44	$52.48	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $13.49 / $30.20	Professional	26	$5.01	$13.49	$30.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $34.67 / $141.25	Professional	TC	$17.78	$34.67	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $87.10 / $199.53	Facility		$15.14	$87.10	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $15.85 / $24.55	Facility	26	$3.02	$15.85	$24.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $77.62 / $134.90	Facility	TC	$16.98	$77.62	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $144.54	Professional		$32.36	$64.57	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $11.75 / $25.12	Professional	26	$5.62	$11.75	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $52.48 / $123.03	Professional	TC	$26.92	$52.48	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $33.88 / $56.23	Facility		$7.41	$33.88	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $151.36	Professional		$40.74	$67.61	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.75 / $25.12	Professional	26	$6.76	$11.75	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $54.95 / $128.82	Professional	TC	$33.88	$54.95	$128.82