Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $501.19 / $1,023.29	Facility		$89.13	$501.19	$1,023.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $524.81	Professional		$89.13	$190.55	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $52.48 / $66.07	Professional	26	$25.12	$52.48	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $158.49 / $478.63	Professional	TC	$79.43	$158.49	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $457.09	Professional		$295.12	$457.09	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $104.71	Professional	26	$67.61	$104.71	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $346.74 / $346.74	Professional	TC	$223.87	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $181.97 / $213.80	Professional		$70.79	$181.97	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $41.69 / $74.13	Professional	26	$28.84	$41.69	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $125.89 / $147.91	Professional	TC	$42.66	$125.89	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $190.55 / $331.13	Professional		$75.86	$190.55	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $48.98 / $85.11	Professional	26	$27.54	$48.98	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $134.90 / $245.47	Professional	TC	$47.86	$134.90	$245.47