Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,122.02 / $3,019.95	Facility		$380.19	$1,122.02	$3,019.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $95.50 / $416.87	Facility	26	$64.57	$95.50	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $870.96	Professional		$181.97	$309.03	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $263.03	Professional	26	$63.10	$77.62	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $173.78 / $457.09	Professional	TC	$117.49	$173.78	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,238.72 / $4,365.16	Facility		$363.08	$2,238.72	$4,365.16
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $588.84	Professional		$186.21	$295.12	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $95.50 / $173.78	Professional	26	$66.07	$95.50	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $208.93 / $407.38	Professional	TC	$128.82	$208.93	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $1,479.11	Facility		$295.12	$416.87	$1,479.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $89.13 / $218.78	Facility	26	$16.60	$89.13	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $602.56	Professional		$194.98	$316.23	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $199.53	Professional	26	$67.61	$97.72	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $407.38	Professional	TC	$138.04	$218.78	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $831.76 / $2,041.74	Facility		$83.18	$831.76	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $478.63	Professional		$186.21	$269.15	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $154.88	Professional	26	$61.66	$85.11	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $181.97 / $323.59	Professional	TC	$123.03	$181.97	$323.59