Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.31 / $1,173.06 / $2,770.56	Facility		$372.31	$1,173.06	$2,770.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.77 / $94.49 / $300.29	Facility	26	$68.77	$94.49	$300.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $254.66 / $774.14	Professional		$186.34	$254.66	$774.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.42 / $76.53 / $255.70	Professional	26	$63.42	$76.53	$255.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.85 / $175.12 / $330.62	Professional	TC	$124.85	$175.12	$330.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.29 / $1,366.89 / $1,501.00	Facility		$761.29	$1,366.89	$1,501.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.66 / $66.66 / $66.66	Facility	26	$66.66	$66.66	$66.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $298.27 / $501.37	Professional		$197.09	$298.27	$501.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $89.54 / $164.40	Professional	26	$67.58	$89.54	$164.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.96 / $209.10 / $351.81	Professional	TC	$129.96	$209.10	$351.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $485.28 / $870.47	Facility		$219.59	$485.28	$870.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.04 / $307.57 / $526.09	Professional		$204.04	$307.57	$526.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.67 / $97.20 / $174.48	Professional	26	$69.67	$97.20	$174.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.90 / $213.64 / $349.42	Professional	TC	$139.90	$213.64	$349.42
United Facility/Professional Facility Modifier Low / Median / High Price $211.05 / $211.05 / $211.05	Facility		$211.05	$211.05	$211.05
United Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $295.05 / $473.76	Professional		$196.50	$295.05	$473.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $93.63 / $151.11	Professional	26	$67.98	$93.63	$151.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.06 / $199.30 / $323.82	Professional	TC	$132.06	$199.30	$323.82