Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $1,543.03 / $6,691.00	Facility		$262.80	$1,543.03	$6,691.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.33 / $45.61 / $65.26	Facility	26	$40.33	$45.61	$65.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $214.71 / $443.59	Professional		$140.13	$214.71	$443.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $45.26 / $108.20	Professional	26	$39.78	$45.26	$108.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $142.32 / $228.32	Professional	TC	$98.17	$142.32	$228.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,059.00 / $4,852.00	Facility		$1,139.00	$2,059.00	$4,852.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $226.75 / $358.39	Professional		$142.44	$226.75	$358.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.32 / $55.93 / $99.72	Professional	26	$40.32	$55.93	$99.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.52 / $180.42 / $286.57	Professional	TC	$99.52	$180.42	$286.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.39 / $211.39 / $298.13	Facility		$211.39	$211.39	$298.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.28 / $53.28 / $53.28	Facility	26	$53.28	$53.28	$53.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $242.89 / $436.08	Professional		$151.18	$242.89	$436.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.46 / $64.98 / $117.69	Professional	26	$41.46	$64.98	$117.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.21 / $170.20 / $315.70	Professional	TC	$102.21	$170.20	$315.70
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,221.00 / $2,883.00	Facility		$376.00	$1,221.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $228.53 / $398.34	Professional		$146.66	$228.53	$398.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $58.85 / $100.74	Professional	26	$40.90	$58.85	$100.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.50 / $168.09 / $289.11	Professional	TC	$100.50	$168.09	$289.11