Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $354.81	Professional		$102.33	$138.04	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.99 / $53.70	Professional	26	$12.88	$23.99	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $114.82 / $204.17	Professional	TC	$87.10	$114.82	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $436.52	Facility		$199.53	$229.09	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $281.84	Professional		$123.03	$165.96	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $44.67	Professional	26	$19.50	$27.54	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $138.04 / $218.78	Professional	TC	$95.50	$138.04	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Facility		$323.59	$323.59	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $371.54	Professional		$154.88	$239.88	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $32.36 / $57.54	Professional	26	$14.79	$32.36	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $190.55 / $316.23	Professional	TC	$120.23	$190.55	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $331.13	Professional		$141.25	$208.93	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $26.92 / $51.29	Professional	26	$15.14	$26.92	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $177.83 / $288.40	Professional	TC	$120.23	$177.83	$288.40