Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $3,981.07	Facility		$389.05	$1,513.56	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $891.25	Professional		$134.90	$263.03	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $138.04	Professional	26	$38.90	$54.95	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $131.83 / $371.54	Professional	TC	$81.28	$131.83	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $467.74	Facility		$269.15	$354.81	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $234.42	Professional		$144.54	$194.98	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $36.31 / $69.18	Professional	26	$33.11	$36.31	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $120.23 / $251.19	Professional	TC	$112.20	$120.23	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $426.58	Professional		$173.78	$239.88	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $83.18 / $117.49	Professional	26	$33.88	$83.18	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $190.55 / $323.59	Professional	TC	$141.25	$190.55	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,412.54 / $6,456.54	Facility		$436.52	$1,412.54	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $363.08	Professional		$134.90	$229.09	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $63.10 / $102.33	Professional	26	$36.31	$63.10	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $269.15	Professional	TC	$112.20	$173.78	$269.15