Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.25 / $1,543.03 / $3,955.04	Facility		$390.25	$1,543.03	$3,955.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $183.48 / $216.04	Professional		$122.08	$183.48	$216.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $40.79 / $55.85	Professional	26	$39.78	$40.79	$55.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.29 / $127.63 / $150.08	Professional	TC	$81.29	$127.63	$150.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.12 / $354.59 / $437.54	Facility		$210.12	$354.59	$437.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.23 / $208.23 / $217.71	Professional		$208.23	$208.23	$217.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $48.16 / $77.83	Professional	26	$33.71	$48.16	$77.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.04 / $160.06 / $160.06	Professional	TC	$112.04	$160.06	$160.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $334.07 / $423.68	Professional		$174.82	$334.07	$423.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $74.51 / $117.69	Professional	26	$33.79	$74.51	$117.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.02 / $251.29 / $326.39	Professional	TC	$141.02	$251.29	$326.39
United Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,183.00 / $4,915.00	Facility		$540.00	$1,183.00	$4,915.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $231.56 / $364.77	Professional		$140.75	$231.56	$364.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.86 / $57.60 / $92.60	Professional	26	$41.86	$57.60	$92.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.29 / $174.19 / $271.57	Professional	TC	$113.29	$174.19	$271.57