Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $960.00 / $2,250.00	Facility		$575.00	$960.00	$2,250.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.85 / $238.85 / $238.85	Facility	26	$238.85	$238.85	$238.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $721.28 / $973.72	Professional		$327.50	$721.28	$973.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.12 / $238.85 / $322.44	Professional	26	$122.12	$238.85	$322.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.37 / $482.43 / $651.28	Professional	TC	$205.37	$482.43	$651.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.90 / $613.92 / $825.94	Facility		$505.90	$613.92	$825.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.41 / $417.00 / $492.06	Professional		$304.41	$417.00	$492.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.65 / $161.16 / $190.18	Professional	26	$117.65	$161.16	$190.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.76 / $255.83 / $301.88	Professional	TC	$186.76	$255.83	$301.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $415.14 / $999.56	Professional		$343.53	$415.14	$999.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.00 / $164.01 / $394.06	Professional	26	$116.00	$164.01	$394.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.71 / $247.11 / $605.47	Professional	TC	$198.71	$247.11	$605.47
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,213.00 / $2,488.00	Facility		$375.00	$1,213.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.13 / $350.61 / $569.11	Professional		$279.13	$350.61	$569.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.07 / $139.10 / $207.39	Professional	26	$99.07	$139.10	$207.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.59 / $227.69 / $364.85	Professional	TC	$177.59	$227.69	$364.85