Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $794.33	Facility		$524.81	$794.33	$794.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $288.40	Professional		$64.57	$104.71	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $30.90 / $83.18	Professional	26	$12.88	$30.90	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $85.11 / $194.98	Professional	TC	$52.48	$85.11	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $758.58	Facility		$426.58	$512.86	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $181.97	Professional		$95.50	$128.82	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.05 / $31.62	Professional	26	$13.49	$19.05	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $107.15 / $147.91	Professional	TC	$75.86	$107.15	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $660.69 / $1,148.15	Facility		$446.68	$660.69	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $213.80	Professional		$74.13	$147.91	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $28.84 / $34.67	Professional	26	$12.88	$28.84	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $138.04 / $204.17	Professional	TC	$60.26	$138.04	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $181.97	Professional		$69.18	$107.15	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $31.62	Professional	26	$15.14	$19.05	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $100.00 / $177.83	Professional	TC	$53.70	$100.00	$177.83