Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $223.02 / $792.98	Facility		$223.02	$223.02	$792.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $143.13 / $181.30	Professional		$118.31	$143.13	$181.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $22.17 / $52.01	Professional	26	$19.93	$22.17	$52.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.14 / $123.20 / $152.22	Professional	TC	$96.14	$123.20	$152.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $259.00 / $259.00	Professional		$210.00	$259.00	$259.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $41.00 / $41.00	Professional	26	$33.00	$41.00	$41.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.00 / $218.00 / $218.00	Professional	TC	$177.00	$218.00	$218.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.65 / $246.14 / $336.15	Professional		$162.65	$246.14	$336.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $37.60 / $49.71	Professional	26	$22.73	$37.60	$49.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.35 / $207.96 / $259.19	Professional	TC	$143.35	$207.96	$259.19
United Facility/Professional Professional Modifier Low / Median / High Price $236.95 / $309.60 / $673.29	Professional		$236.95	$309.60	$673.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $46.56 / $72.81	Professional	26	$24.90	$46.56	$72.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.80 / $239.58 / $601.70	Professional	TC	$198.80	$239.58	$601.70