Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $999.94 / $1,831.00	Facility		$461.00	$999.94	$1,831.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.51 / $336.45 / $341.22	Facility	26	$116.51	$336.45	$341.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $400.69 / $1,014.08	Professional		$327.50	$400.69	$1,014.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.51 / $132.90 / $341.22	Professional	26	$116.51	$132.90	$341.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.37 / $237.40 / $672.86	Professional	TC	$205.37	$237.40	$672.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.95 / $327.95 / $327.95	Facility		$327.95	$327.95	$327.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $631.00 / $631.00	Professional		$631.00	$631.00	$631.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.25 / $234.25 / $650.02	Facility		$234.25	$234.25	$650.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.41 / $565.94 / $707.66	Professional		$339.41	$565.94	$707.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.09 / $212.49 / $277.91	Professional	26	$123.09	$212.49	$277.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.82 / $356.92 / $448.59	Professional	TC	$207.82	$356.92	$448.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.41 / $467.97 / $774.56	Professional		$339.41	$467.97	$774.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.09 / $177.62 / $313.93	Professional	26	$123.09	$177.62	$313.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.32 / $274.67 / $498.39	Professional	TC	$216.32	$274.67	$498.39