Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $851.14	Facility		$134.90	$245.47	$851.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $83.18 / $83.18	Facility	26	$45.71	$83.18	$83.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $89.13 / $162.18 / $575.44	Facility	TC	$89.13	$162.18	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $338.84 / $977.24	Professional		$75.86	$338.84	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $72.44 / $309.03	Professional	26	$31.62	$72.44	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $95.50 / $223.87	Professional	TC	$42.66	$95.50	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $93.33	Facility		$85.11	$85.11	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $141.25	Professional		$79.43	$112.20	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.88 / $50.12	Professional	26	$23.44	$33.88	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $58.88 / $79.43	Professional	TC	$54.95	$58.88	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $134.90 / $199.53	Professional		$53.70	$134.90	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $48.98 / $60.26	Professional	26	$17.78	$48.98	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $95.50 / $141.25	Professional	TC	$35.48	$95.50	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $169.82	Professional		$44.67	$112.20	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $38.02 / $57.54	Professional	26	$20.89	$38.02	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $74.13 / $112.20	Professional	TC	$20.89	$74.13	$112.20