Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $416.87 / $1,513.56	Facility		$144.54	$416.87	$1,513.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $56.23 / $151.36	Facility	26	$30.90	$56.23	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $537.03	Professional		$109.65	$162.18	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $79.43 / $426.58	Professional	26	$28.84	$79.43	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $109.65 / $275.42	Professional	TC	$70.79	$109.65	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $331.13	Professional		$70.79	$107.15	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $32.36 / $91.20	Professional	26	$16.60	$32.36	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $74.13 / $257.04	Professional	TC	$54.95	$74.13	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $524.81 / $1,318.26	Facility		$117.49	$524.81	$1,318.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $147.91 / $257.04	Facility	26	$32.36	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $302.00	Professional		$58.88	$131.83	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $37.15 / $74.13	Professional	26	$18.62	$37.15	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $93.33 / $239.88	Professional	TC	$39.81	$93.33	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $83.18 / $141.25	Facility		$23.44	$83.18	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $331.13	Professional		$79.43	$141.25	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $38.90 / $79.43	Professional	26	$22.39	$38.90	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $104.71 / $257.04	Professional	TC	$54.95	$104.71	$257.04