Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $602.56 / $1,479.11	Facility		$223.87	$602.56	$1,479.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $104.71 / $323.59	Facility	26	$64.57	$104.71	$323.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $165.96 / $512.86 / $1,258.93	Facility	TC	$165.96	$512.86	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $831.76	Professional		$181.97	$275.42	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $245.47 / $851.14	Professional	26	$72.44	$245.47	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $181.97 / $562.34	Professional	TC	$131.83	$181.97	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $575.44	Professional		$107.15	$245.47	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $100.00 / $199.53	Professional	26	$35.48	$100.00	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $134.90 / $398.11	Professional	TC	$43.65	$134.90	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $489.78 / $2,187.76	Facility		$177.83	$489.78	$2,187.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $107.15 / $169.82	Facility	26	$21.38	$107.15	$169.82
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $239.88 / $416.87	Facility	TC	$51.29	$239.88	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $512.86	Professional		$112.20	$218.78	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $79.43 / $173.78	Professional	26	$38.02	$79.43	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $138.04 / $371.54	Professional	TC	$64.57	$138.04	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $128.82 / $213.80	Facility		$50.12	$128.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $537.03	Professional		$134.90	$234.42	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $173.78	Professional	26	$46.77	$79.43	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $154.88 / $380.19	Professional	TC	$91.20	$154.88	$380.19