Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.60 / $786.40 / $800.00	Facility		$521.60	$786.40	$800.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.33 / $98.33 / $98.33	Facility	26	$98.33	$98.33	$98.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $90.07 / $118.02	Professional		$64.89	$90.07	$118.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $15.81 / $82.63	Professional	26	$12.05	$15.81	$82.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $74.23 / $99.72	Professional	TC	$52.84	$74.23	$99.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.17 / $507.78 / $628.47	Facility		$455.17	$507.78	$628.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $127.38 / $171.78	Professional		$118.75	$127.38	$171.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.34 / $19.05 / $30.19	Professional	26	$13.34	$19.05	$30.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.81 / $108.31 / $110.87	Professional	TC	$75.81	$108.31	$110.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.19 / $654.17 / $1,150.01	Facility		$426.19	$654.17	$1,150.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $161.43 / $198.92	Professional		$81.87	$161.43	$198.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $22.45 / $32.89	Professional	26	$13.56	$22.45	$32.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $138.97 / $188.36	Professional	TC	$75.26	$138.97	$188.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $124.07 / $193.12	Professional		$68.47	$124.07	$193.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $20.52 / $33.06	Professional	26	$15.20	$20.52	$33.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.86 / $103.55 / $192.69	Professional	TC	$65.86	$103.55	$192.69