Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $272.24 / $611.54	Facility		$129.16	$272.24	$611.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.10 / $36.26 / $57.23	Facility	26	$33.10	$36.26	$57.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $88.63 / $162.34 / $228.33	Facility	TC	$88.63	$162.34	$228.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $93.12 / $234.73	Professional		$71.54	$93.12	$234.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $41.54 / $129.56	Professional	26	$26.61	$41.54	$129.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.34 / $60.69 / $136.47	Professional	TC	$46.34	$60.69	$136.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $104.72 / $194.01	Professional		$44.64	$104.72	$194.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $40.06 / $75.09	Professional	26	$16.34	$40.06	$75.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $65.70 / $124.80	Professional	TC	$29.66	$65.70	$124.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.31 / $132.31 / $159.83	Facility		$132.31	$132.31	$159.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.22 / $71.22 / $71.22	Facility	26	$71.22	$71.22	$71.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $104.94 / $104.94 / $104.94	Facility	TC	$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $93.81 / $189.29	Professional		$49.29	$93.81	$189.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $36.70 / $74.00	Professional	26	$17.94	$36.70	$74.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.93 / $49.59 / $113.89	Professional	TC	$27.93	$49.59	$113.89
United Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $223.74 / $223.74	Facility		$223.74	$223.74	$223.74
United Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $93.99 / $198.54	Professional		$60.59	$93.99	$198.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $36.09 / $71.34	Professional	26	$22.09	$36.09	$71.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $63.74 / $117.34	Professional	TC	$38.79	$63.74	$117.34