Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.32 / $927.00 / $1,768.00	Facility		$487.32	$927.00	$1,768.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.73 / $102.24 / $102.24	Facility	26	$75.73	$102.24	$102.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $360.98 / $487.32	Professional		$142.71	$360.98	$487.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $75.73 / $102.24	Professional	26	$38.40	$75.73	$102.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.78 / $285.24 / $385.07	Professional	TC	$98.78	$285.24	$385.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $116.38 / $156.57	Facility		$95.90	$116.38	$156.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $204.54 / $241.36	Professional		$149.31	$204.54	$241.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.18 / $67.37 / $79.50	Professional	26	$49.18	$67.37	$79.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.13 / $137.16 / $161.86	Professional	TC	$100.13	$137.16	$161.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $179.13 / $328.52	Professional		$112.94	$179.13	$328.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $59.64 / $124.78	Professional	26	$36.72	$59.64	$124.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.28 / $113.39 / $246.89	Professional	TC	$70.28	$113.39	$246.89
United Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $850.00 / $1,349.00	Facility		$241.00	$850.00	$1,349.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $158.05 / $266.52	Professional		$121.45	$158.05	$266.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $47.37 / $87.54	Professional	26	$32.04	$47.37	$87.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.25 / $112.06 / $195.48	Professional	TC	$90.25	$112.06	$195.48