Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $288.40 / $933.25	Facility		$87.10	$288.40	$933.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $38.90 / $112.20	Facility	26	$22.91	$38.90	$112.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $64.57 / $229.09 / $891.25	Facility	TC	$64.57	$229.09	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $147.91 / $812.83	Professional		$61.66	$147.91	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $141.25 / $794.33	Professional	26	$23.44	$141.25	$794.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $67.61 / $457.09	Professional	TC	$39.81	$67.61	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $190.55	Professional		$37.15	$67.61	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $21.88 / $58.88	Professional	26	$11.22	$21.88	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $46.77 / $131.83	Professional	TC	$25.70	$46.77	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $112.20 / $489.78	Facility		$31.62	$112.20	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $50.12 / $85.11	Facility	26	$10.72	$50.12	$85.11
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.22 / $75.86 / $128.82	Facility	TC	$16.22	$75.86	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $72.44 / $169.82	Professional		$34.67	$72.44	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $23.44 / $51.29	Professional	26	$11.22	$23.44	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $50.12 / $120.23	Professional	TC	$23.44	$50.12	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $44.67 / $74.13	Facility		$17.38	$44.67	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $177.83	Professional		$42.66	$75.86	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $23.99 / $56.23	Professional	26	$13.80	$23.99	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $52.48 / $123.03	Professional	TC	$29.51	$52.48	$123.03