Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.70 / $220.95 / $837.00	Facility		$120.70	$220.95	$837.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.95 / $80.95 / $148.19	Facility	26	$80.95	$80.95	$148.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $4.74 / $39.74 / $218.26	Facility	TC	$4.74	$39.74	$218.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $79.50 / $79.50	Professional		$70.77	$79.50	$79.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.45 / $102.64 / $441.63	Professional	26	$45.45	$102.64	$441.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $31.59 / $31.59	Professional	TC	$25.32	$31.59	$31.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $100.77 / $168.12	Professional		$100.77	$100.77	$168.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $59.83 / $84.48	Professional	26	$41.88	$59.83	$84.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.66 / $34.79 / $40.94	Professional	TC	$28.66	$34.79	$40.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $56.83 / $56.83	Facility		$56.83	$56.83	$56.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $127.71 / $177.83	Professional		$53.63	$127.71	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.88 / $85.27 / $106.35	Professional	26	$31.88	$85.27	$106.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $43.90 / $73.54	Professional	TC	$21.75	$43.90	$73.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $104.11 / $152.16	Professional		$41.00	$104.11	$152.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.43 / $75.23 / $101.22	Professional	26	$30.43	$75.23	$101.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.57 / $36.70 / $55.42	Professional	TC	$10.57	$36.70	$55.42