Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.22 / $533.20 / $1,435.98	Facility		$392.22	$533.20	$1,435.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.93 / $107.93 / $197.58	Facility	26	$107.93	$107.93	$197.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $284.30 / $520.42 / $1,040.85	Facility	TC	$284.30	$520.42	$1,040.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.12 / $242.81 / $261.62	Professional		$177.12	$242.81	$261.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.79 / $278.95 / $735.40	Professional	26	$60.79	$278.95	$735.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.33 / $179.03 / $187.49	Professional	TC	$116.33	$179.03	$187.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $287.88 / $506.94	Professional		$287.88	$287.88	$506.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.13 / $78.75 / $112.28	Professional	26	$55.13	$78.75	$112.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.38 / $177.76 / $209.13	Professional	TC	$146.38	$177.76	$209.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.61 / $316.61 / $316.61	Facility		$316.61	$316.61	$316.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $172.92 / $505.94	Professional		$148.30	$172.92	$505.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.84 / $113.04 / $140.13	Professional	26	$0.84	$113.04	$140.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.40 / $124.44 / $375.69	Professional	TC	$2.40	$124.44	$375.69
United Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $300.79 / $418.94	Professional		$92.77	$300.79	$418.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.72 / $89.36 / $134.76	Professional	26	$40.72	$89.36	$134.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.51 / $208.83 / $326.99	Professional	TC	$47.51	$208.83	$326.99