Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.61 / $246.42 / $792.62	Facility		$134.61	$246.42	$792.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.93 / $45.93 / $84.08	Facility	26	$45.93	$45.93	$84.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $88.68 / $162.34 / $568.86	Facility	TC	$88.68	$162.34	$568.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $70.81 / $81.22	Professional		$70.81	$70.81	$81.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $33.57 / $144.38	Professional	26	$27.00	$33.57	$144.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.82 / $43.82 / $49.82	Professional	TC	$43.82	$43.82	$49.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $112.82 / $196.92	Professional		$112.82	$112.82	$196.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $33.57 / $50.01	Professional	26	$23.50	$33.57	$50.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.48 / $67.36 / $79.25	Professional	TC	$55.48	$67.36	$79.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.65 / $123.65 / $123.65	Facility		$123.65	$123.65	$123.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $133.99 / $197.77	Professional		$53.33	$133.99	$197.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $48.02 / $59.67	Professional	26	$0.36	$48.02	$59.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.91 / $42.54 / $142.38	Professional	TC	$0.91	$42.54	$142.38
United Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $111.76 / $168.11	Professional		$40.54	$111.76	$168.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $42.27 / $60.74	Professional	26	$21.69	$42.27	$60.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $79.91 / $110.97	Professional	TC	$20.96	$79.91	$110.97