Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,518.41 / $1,543.03 / $3,955.04	Facility		$1,518.41	$1,543.03	$3,955.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.37 / $383.14 / $449.61	Professional		$370.37	$383.14	$449.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.70 / $129.94 / $171.54	Professional	26	$125.70	$129.94	$171.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.42 / $257.43 / $296.60	Professional	TC	$240.42	$257.43	$296.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.30 / $1,274.04 / $1,508.32	Facility		$539.30	$1,274.04	$1,508.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.23 / $448.23 / $666.67	Professional		$448.23	$448.23	$666.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.19 / $153.13 / $251.17	Professional	26	$107.19	$153.13	$251.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.57 / $295.10 / $295.10	Professional	TC	$206.57	$295.10	$295.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $572.86 / $771.73	Professional		$345.84	$572.86	$771.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.63 / $201.98 / $289.83	Professional	26	$106.63	$201.98	$289.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.21 / $348.03 / $536.60	Professional	TC	$239.21	$348.03	$536.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $1,788.00 / $4,602.00	Facility		$1,069.00	$1,788.00	$4,602.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.16 / $534.94 / $830.11	Professional		$343.16	$534.94	$830.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $181.78 / $246.02	Professional	26	$132.09	$181.78	$246.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.54 / $303.58 / $545.66	Professional	TC	$225.54	$303.58	$545.66