Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.39 / $170.39 / $170.39	Facility		$170.39	$170.39	$170.39
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.91 / $21.91 / $21.91	Facility	26	$21.91	$21.91	$21.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $115.71 / $170.39	Professional		$52.79	$115.71	$170.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.90 / $17.64 / $25.67	Professional	26	$15.90	$17.64	$25.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $114.40 / $160.25	Professional	TC	$45.29	$114.40	$160.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.25 / $415.44 / $682.08	Facility		$300.25	$415.44	$682.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $66.26 / $190.13	Professional		$56.32	$66.26	$190.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $17.93 / $21.73	Professional	26	$12.55	$17.93	$21.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.83 / $48.33 / $48.33	Professional	TC	$33.83	$48.33	$48.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.72 / $230.72 / $230.72	Facility		$230.72	$230.72	$230.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $120.90 / $152.02	Professional		$68.59	$120.90	$152.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $22.75 / $40.29	Professional	26	$18.85	$22.75	$40.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.74 / $88.86 / $128.15	Professional	TC	$49.74	$88.86	$128.15
United Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $94.49 / $195.74	Professional		$59.97	$94.49	$195.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.22 / $22.69 / $31.57	Professional	26	$18.22	$22.69	$31.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.53 / $70.75 / $164.57	Professional	TC	$48.53	$70.75	$164.57