Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $117.49 / $117.49	Facility		$63.10	$117.49	$117.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $72.44 / $72.44	Facility	26	$39.81	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $83.18 / $141.25	Professional		$30.90	$83.18	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $70.79 / $141.25	Professional	26	$22.91	$70.79	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $26.92 / $66.07	Professional	TC	$7.94	$26.92	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $46.77	Facility		$42.66	$42.66	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $75.86	Professional		$38.02	$54.95	$75.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.39 / $41.69	Professional	26	$20.89	$22.39	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $19.05 / $25.12	Professional	TC	$17.78	$19.05	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $97.72	Professional		$28.84	$56.23	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $43.65 / $52.48	Professional	26	$15.85	$43.65	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $15.85 / $44.67	Professional	TC	$12.88	$15.85	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $57.54 / $83.18	Professional		$19.05	$57.54	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $33.88 / $50.12	Professional	26	$15.14	$33.88	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $23.99 / $33.11	Professional	TC	$4.27	$23.99	$33.11