Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $758.58	Facility		$91.20	$257.04	$758.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $47.86 / $138.04	Facility	26	$27.54	$47.86	$138.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $245.47 / $741.31	Facility	TC	$63.10	$245.47	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $436.52	Professional		$64.57	$109.65	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $70.79 / $316.23	Professional	26	$26.30	$70.79	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $67.61 / $281.84	Professional	TC	$43.65	$67.61	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $218.78	Professional		$44.67	$87.10	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $40.74 / $91.20	Professional	26	$16.22	$40.74	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $47.86 / $141.25	Professional	TC	$29.51	$47.86	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $125.89 / $302.00	Facility		$53.70	$125.89	$302.00
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 $18.20 / $85.11 / $147.91	Facility	TC	$18.20	$85.11	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $199.53	Professional		$47.86	$95.50	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $35.48 / $79.43	Professional	26	$16.60	$35.48	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $52.48 / $138.04	Professional	TC	$26.92	$52.48	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $87.10	Facility		$19.50	$50.12	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $213.80	Professional		$57.54	$97.72	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $74.13	Professional	26	$20.89	$35.48	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $60.26 / $138.04	Professional	TC	$36.31	$60.26	$138.04