Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $226.14 / $463.12	Facility		$132.38	$226.14	$463.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.23 / $24.68 / $38.54	Facility	26	$23.23	$24.68	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $130.71 / $223.86	Professional		$107.01	$130.71	$223.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $22.32 / $33.99	Professional	26	$11.77	$22.32	$33.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.35 / $109.01 / $189.87	Professional	TC	$95.35	$109.01	$189.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $597.29	Facility		$350.00	$350.00	$597.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $154.53 / $233.55	Professional		$108.25	$154.53	$233.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $23.36 / $36.68	Professional	26	$15.04	$23.36	$36.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.46 / $132.07 / $204.49	Professional	TC	$97.46	$132.07	$204.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $214.04 / $356.76	Facility		$147.68	$214.04	$356.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.75 / $26.75 / $26.75	Facility	26	$26.75	$26.75	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $213.70 / $354.33	Professional		$143.10	$213.70	$354.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $26.27 / $52.57	Professional	26	$14.82	$26.27	$52.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.61 / $187.41 / $324.18	Professional	TC	$120.61	$187.41	$324.18
United Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $189.71 / $324.12	Professional		$139.46	$189.71	$324.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.16 / $25.62 / $45.94	Professional	26	$14.16	$25.62	$45.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.76 / $167.17 / $286.45	Professional	TC	$117.76	$167.17	$286.45