Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.90 / $540.70 / $552.34	Facility		$461.90	$540.70	$552.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.97 / $146.97 / $146.97	Facility	26	$146.97	$146.97	$146.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $148.93 / $790.00	Professional		$113.82	$148.93	$790.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $23.80 / $102.29	Professional	26	$18.45	$23.80	$102.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.27 / $124.02 / $135.68	Professional	TC	$102.27	$124.02	$135.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $238.94 / $332.59	Facility		$205.07	$238.94	$332.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $165.54 / $264.52	Professional		$140.71	$165.54	$264.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $27.56 / $46.20	Professional	26	$19.29	$27.56	$46.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.59 / $137.99 / $137.99	Professional	TC	$96.59	$137.99	$137.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.44 / $326.44 / $598.77	Facility		$326.44	$326.44	$598.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $188.47 / $326.20	Professional		$139.55	$188.47	$326.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.89 / $26.52 / $49.19	Professional	26	$21.89	$26.52	$49.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.89 / $150.16 / $258.50	Professional	TC	$116.89	$150.16	$258.50
United Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $194.42 / $269.32	Professional		$142.72	$194.42	$269.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.91 / $26.84 / $43.43	Professional	26	$20.91	$26.84	$43.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.12 / $161.22 / $231.32	Professional	TC	$128.12	$161.22	$231.32