Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.35 / $207.50 / $919.97	Facility		$113.35	$207.50	$919.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.50 / $34.50 / $63.16	Facility	26	$34.50	$34.50	$63.16
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $78.84 / $144.32 / $721.60	Facility	TC	$78.84	$144.32	$721.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $53.21 / $53.21	Professional		$52.16	$53.21	$53.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $76.61 / $306.43	Professional	26	$16.07	$76.61	$306.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.58 / $37.11 / $37.11	Professional	TC	$35.58	$37.11	$37.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $96.81 / $114.37	Professional		$96.81	$96.81	$114.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $27.24 / $36.53	Professional	26	$19.07	$27.24	$36.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.70 / $59.13 / $69.56	Professional	TC	$48.70	$59.13	$69.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.66 / $108.66 / $108.66	Facility		$108.66	$108.66	$108.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $101.92 / $170.03	Professional		$38.18	$101.92	$170.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $38.60 / $48.48	Professional	26	$14.42	$38.60	$48.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $71.02 / $125.03	Professional	TC	$25.86	$71.02	$125.03
United Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $98.28 / $143.26	Professional		$32.25	$98.28	$143.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $33.72 / $45.66	Professional	26	$10.67	$33.72	$45.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.58 / $78.94 / $108.42	Professional	TC	$22.58	$78.94	$108.42