Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $140.00 / $175.00	Facility		$86.88	$140.00	$175.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $28.20	Facility	26	$15.41	$15.41	$28.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $71.45 / $130.81 / $392.44	Facility	TC	$71.45	$130.81	$392.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $54.15 / $61.34	Professional		$54.15	$54.15	$61.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $20.34 / $87.62	Professional	26	$8.82	$20.34	$87.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $44.98 / $52.51	Professional	TC	$44.98	$44.98	$52.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $82.44 / $115.72	Professional		$82.44	$82.44	$115.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $11.59 / $16.50	Professional	26	$8.11	$11.59	$16.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.60 / $70.84 / $70.84	Professional	TC	$49.60	$70.84	$70.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $101.16 / $101.16	Facility		$101.16	$101.16	$101.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $48.34 / $146.40	Professional		$21.58	$48.34	$146.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $16.46 / $20.83	Professional	26	$0.12	$16.46	$20.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.81 / $41.70 / $127.29	Professional	TC	$0.81	$41.70	$127.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $80.76 / $109.96	Professional		$13.52	$80.76	$109.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $14.21 / $19.19	Professional	26	$6.12	$14.21	$19.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.72 / $68.09 / $94.21	Professional	TC	$21.72	$68.09	$94.21