Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.82 / $261.82 / $261.82	Facility		$261.82	$261.82	$261.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.30 / $72.30 / $252.08	Facility	26	$72.30	$72.30	$252.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $183.93 / $253.67	Professional		$154.55	$183.93	$253.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.20 / $72.30 / $104.74	Professional	26	$42.20	$72.30	$104.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.86 / $134.55 / $188.07	Professional	TC	$80.86	$134.55	$188.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.85 / $305.50 / $389.68	Facility		$231.85	$305.50	$389.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $141.57 / $314.81	Professional		$120.33	$141.57	$314.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.32 / $41.89 / $58.28	Professional	26	$29.32	$41.89	$58.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.78 / $99.68 / $99.68	Professional	TC	$69.78	$99.68	$99.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.15 / $594.15 / $594.15	Facility		$594.15	$594.15	$594.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.03 / $198.34 / $360.76	Professional		$159.03	$198.34	$360.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.78 / $57.28 / $99.58	Professional	26	$41.78	$57.28	$99.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.27 / $141.06 / $254.89	Professional	TC	$113.27	$141.06	$254.89
United Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $238.38 / $295.69	Professional		$167.50	$238.38	$295.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.65 / $59.63 / $81.04	Professional	26	$41.65	$59.63	$81.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.15 / $170.76 / $211.97	Professional	TC	$104.15	$170.76	$211.97