Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,238.72 / $8,128.31	Facility		$251.19	$2,238.72	$8,128.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $53.70 / $100.00	Facility	26	$38.90	$53.70	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $660.69	Professional		$151.36	$239.88	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $51.29 / $158.49	Professional	26	$37.15	$51.29	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $158.49 / $302.00	Professional	TC	$91.20	$158.49	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,168.69 / $12,022.64	Facility		$1,584.89	$4,168.69	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $426.58	Professional		$125.89	$218.78	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $125.89	Professional	26	$38.90	$64.57	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $169.82 / $316.23	Professional	TC	$69.18	$169.82	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $1,737.80	Facility		$34.67	$602.56	$1,737.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $57.54 / $162.18	Facility	26	$10.00	$57.54	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $602.56	Professional		$151.36	$281.84	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $69.18 / $138.04	Professional	26	$41.69	$69.18	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $194.98 / $478.63	Professional	TC	$104.71	$194.98	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,202.26 / $3,630.78	Facility		$288.40	$1,202.26	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $398.11	Professional		$128.82	$204.17	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $54.95 / $104.71	Professional	26	$36.31	$54.95	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $147.91 / $295.12	Professional	TC	$89.13	$147.91	$295.12