Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.38 / $2,136.89 / $7,082.02	Facility		$548.38	$2,136.89	$7,082.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.43 / $153.63 / $201.37	Facility	26	$128.43	$153.63	$201.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $439.26 / $744.02	Professional		$341.43	$439.26	$744.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.85 / $142.63 / $283.87	Professional	26	$122.85	$142.63	$283.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $269.26 / $441.85	Professional	TC	$214.11	$269.26	$441.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,977.00 / $4,852.00	Facility		$937.00	$1,977.00	$4,852.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.60 / $452.34 / $732.69	Professional		$349.60	$452.34	$732.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.23 / $154.04 / $261.13	Professional	26	$123.23	$154.04	$261.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.50 / $308.33 / $524.40	Professional	TC	$226.50	$308.33	$524.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.93 / $325.02 / $429.12	Facility		$321.93	$325.02	$429.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.43 / $168.43 / $168.43	Facility	26	$168.43	$168.43	$168.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.57 / $534.20 / $829.43	Professional		$363.57	$534.20	$829.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.50 / $193.64 / $295.58	Professional	26	$131.50	$193.64	$295.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.90 / $348.03 / $561.51	Professional	TC	$228.90	$348.03	$561.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,925.00 / $4,132.00	Facility		$1,020.00	$1,925.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $480.59 / $836.58	Professional		$348.12	$480.59	$836.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $129.32 / $180.68 / $293.10	Professional	26	$129.32	$180.68	$293.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.04 / $303.58 / $545.66	Professional	TC	$220.04	$303.58	$545.66