Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,630.27 / $8,511.38	Facility		$575.44	$2,630.27	$8,511.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $173.78 / $295.12	Facility	26	$125.89	$173.78	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,174.90	Professional		$346.74	$478.63	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $158.49 / $426.58	Professional	26	$117.49	$158.49	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $288.40 / $549.54	Professional	TC	$223.87	$288.40	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,248.07 / $13,489.63	Facility		$1,621.81	$5,248.07	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $891.25	Professional		$316.23	$457.09	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $169.82 / $316.23	Professional	26	$120.23	$169.82	$316.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $602.56	Professional	TC	$190.55	$309.03	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,148.15 / $2,884.03	Facility		$223.87	$1,148.15	$2,884.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $181.97 / $512.86	Facility	26	$32.36	$181.97	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,230.27	Professional		$346.74	$549.54	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $199.53 / $416.87	Professional	26	$128.82	$199.53	$416.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $363.08 / $851.14	Professional	TC	$223.87	$363.08	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,949.84 / $4,786.30	Facility		$562.34	$1,949.84	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $851.14	Professional		$309.03	$446.68	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $295.12	Professional	26	$112.20	$165.96	$295.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $275.42 / $549.54	Professional	TC	$194.98	$275.42	$549.54