Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $512.86 / $6,309.57	Facility		$141.25	$512.86	$6,309.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $114.82 / $323.59	Facility	26	$67.61	$114.82	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $371.54	Professional		$109.65	$173.78	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $199.53	Professional	26	$50.12	$81.28	$199.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	52	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $245.47	Professional	TC	$56.23	$85.11	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $562.34 / $9,772.37	Facility		$109.65	$562.34	$9,772.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $616.60	Professional		$141.25	$245.47	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $177.83	Professional	26	$60.26	$87.10	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $134.90 / $489.78	Professional	TC	$67.61	$134.90	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $457.09 / $8,912.51	Facility		$144.54	$457.09	$8,912.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $107.15 / $251.19	Facility	26	$19.95	$107.15	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $707.95	Professional		$128.82	$263.03	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $95.50 / $208.93	Professional	26	$56.23	$95.50	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $144.54 / $512.86	Professional	TC	$61.66	$144.54	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,981.07 / $9,120.11	Facility		$213.80	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $524.81	Professional		$141.25	$213.80	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $162.18	Professional	26	$52.48	$83.18	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $114.82 / $398.11	Professional	TC	$67.61	$114.82	$398.11