Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $269.15 / $776.25	Facility		$72.44	$269.15	$776.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $89.13 / $245.47	Facility	26	$50.12	$89.13	$245.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $117.49 / $436.52	Facility	TC	$32.36	$117.49	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $251.19	Professional		$67.61	$93.33	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $186.21 / $794.33	Professional	26	$52.48	$186.21	$794.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $85.11	Professional	TC	$25.12	$34.67	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $218.78	Professional		$39.81	$100.00	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $70.79 / $144.54	Professional	26	$26.92	$70.79	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $28.18 / $79.43	Professional	TC	$13.49	$28.18	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $758.58	Facility		$66.07	$158.49	$758.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $77.62 / $117.49	Facility	26	$14.45	$77.62	$117.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $9.55 / $50.12 / $100.00	Facility	TC	$9.55	$50.12	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $93.33 / $186.21	Professional		$45.71	$93.33	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $60.26 / $125.89	Professional	26	$28.84	$60.26	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $28.84 / $72.44	Professional	TC	$15.14	$28.84	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $47.86 / $79.43	Facility		$16.60	$47.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $199.53	Professional		$53.70	$91.20	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $60.26 / $128.82	Professional	26	$34.67	$60.26	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.90 / $70.79	Professional	TC	$18.62	$30.90	$70.79