Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $309.03 / $870.96	Facility		$102.33	$309.03	$870.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $34.67 / $75.86	Facility	26	$19.95	$34.67	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $331.13	Professional		$104.71	$138.04	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.99 / $52.48	Professional	26	$12.88	$23.99	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $114.82 / $208.93	Professional	TC	$95.50	$114.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $346.74 / $724.44	Facility		$154.88	$346.74	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $281.84	Professional		$100.00	$141.25	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $21.88 / $38.90	Professional	26	$13.49	$21.88	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $123.03 / $245.47	Professional	TC	$89.13	$123.03	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $676.08	Facility		$144.54	$275.42	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $44.67	Facility	26	$5.62	$26.30	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $416.87	Professional		$134.90	$213.80	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $26.92 / $60.26	Professional	26	$14.79	$26.92	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $190.55 / $363.08	Professional	TC	$120.23	$190.55	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $245.47 / $457.09	Facility		$20.89	$245.47	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $323.59	Professional		$128.82	$186.21	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.99 / $46.77	Professional	26	$12.88	$23.99	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $162.18 / $288.40	Professional	TC	$109.65	$162.18	$288.40