Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $142.79 / $559.75	Facility		$81.90	$142.79	$559.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $14.71 / $14.89	Facility	26	$12.04	$14.71	$14.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $95.53 / $145.99 / $183.55	Facility	TC	$95.53	$145.99	$183.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $79.14 / $166.67	Professional		$54.16	$79.14	$166.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $22.39 / $78.34	Professional	26	$9.44	$22.39	$78.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.86 / $65.00 / $129.96	Professional	TC	$45.86	$65.00	$129.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.75 / $115.75 / $115.75	Facility		$115.75	$115.75	$115.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $81.86 / $142.38	Professional		$28.80	$81.86	$142.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.04 / $12.71 / $23.30	Professional	26	$5.04	$12.71	$23.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $69.08 / $124.77	Professional	TC	$23.76	$69.08	$124.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.74 / $113.74 / $132.22	Facility		$113.74	$113.74	$132.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.26 / $20.26 / $20.26	Facility	26	$20.26	$20.26	$20.26
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $111.96 / $111.96 / $111.96	Facility	TC	$111.96	$111.96	$111.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $61.47 / $132.50	Professional		$33.10	$61.47	$132.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $11.73 / $24.04	Professional	26	$5.76	$11.73	$24.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $47.93 / $107.76	Professional	TC	$27.59	$47.93	$107.76
United Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Facility		$16.80	$16.80	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $67.47 / $136.99	Professional		$43.77	$67.47	$136.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.13 / $23.92	Professional	26	$7.37	$12.13	$23.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.92 / $58.14 / $114.77	Professional	TC	$35.92	$58.14	$114.77