Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $309.03 / $1,023.29	Facility		$66.07	$309.03	$1,023.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $22.39 / $50.12	Facility	26	$16.98	$22.39	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $181.97	Professional		$60.26	$75.86	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.20 / $43.65	Professional	26	$15.85	$18.20	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $53.70 / $138.04	Professional	TC	$42.66	$53.70	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $416.87 / $891.25	Facility		$21.38	$416.87	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $181.97	Professional		$56.23	$95.50	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.39 / $46.77	Professional	26	$16.22	$22.39	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $70.79 / $144.54	Professional	TC	$36.31	$70.79	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $128.82 / $416.87	Facility		$28.18	$128.82	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $23.44 / $63.10	Facility	26	$4.37	$23.44	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $251.19	Professional		$64.57	$125.89	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $26.92 / $56.23	Professional	26	$17.78	$26.92	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $100.00 / $204.17	Professional	TC	$46.77	$100.00	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $512.86 / $912.01	Facility		$223.87	$512.86	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $190.55	Professional		$58.88	$102.33	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $21.88 / $40.74	Professional	26	$15.49	$21.88	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $79.43 / $154.88	Professional	TC	$42.66	$79.43	$154.88