Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.80 / $272.00 / $563.16	Facility		$218.80	$272.00	$563.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.39 / $36.39 / $42.23	Facility	26	$36.39	$36.39	$42.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $143.80 / $341.63	Professional		$106.06	$143.80	$341.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.10 / $36.77 / $104.25	Professional	26	$29.10	$36.77	$104.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $101.90 / $254.49	Professional	TC	$68.95	$101.90	$254.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $133.79 / $295.68	Professional		$71.42	$133.79	$295.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $39.15 / $73.33	Professional	26	$16.42	$39.15	$73.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.01 / $98.90 / $234.61	Professional	TC	$55.01	$98.90	$234.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $283.41 / $528.48	Facility		$283.41	$283.41	$528.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.28 / $213.67 / $213.67	Facility	26	$165.28	$213.67	$213.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $122.46 / $276.19	Professional		$64.67	$122.46	$276.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $36.90 / $68.29	Professional	26	$19.39	$36.90	$68.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.43 / $86.49 / $211.32	Professional	TC	$43.43	$86.49	$211.32
United Facility/Professional Facility Modifier Low / Median / High Price $345.98 / $345.98 / $345.98	Facility		$345.98	$345.98	$345.98
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $149.09 / $313.20	Professional		$94.68	$149.09	$313.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $39.29 / $73.53	Professional	26	$23.74	$39.29	$73.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.50 / $108.27 / $230.08	Professional	TC	$65.50	$108.27	$230.08