Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.19 / $985.43 / $2,131.80	Facility		$544.19	$985.43	$2,131.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $444.36 / $444.36 / $444.36	Facility	26	$444.36	$444.36	$444.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $337.39 / $1,020.00	Professional		$227.46	$337.39	$1,020.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.18 / $79.23 / $294.38	Professional	26	$60.18	$79.23	$294.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.61 / $175.12 / $331.26	Professional	TC	$149.61	$175.12	$331.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.78 / $1,028.89 / $1,198.83	Facility		$744.78	$1,028.89	$1,198.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.05 / $233.00 / $406.21	Professional		$198.05	$233.00	$406.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.27 / $80.38 / $112.25	Professional	26	$56.27	$80.38	$112.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.84 / $152.63 / $152.63	Professional	TC	$106.84	$152.63	$152.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.29 / $634.29 / $634.29	Facility		$634.29	$634.29	$634.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $385.23 / $453.48	Professional		$195.42	$385.23	$453.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.67 / $122.81 / $148.69	Professional	26	$69.67	$122.81	$148.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.65 / $268.87 / $308.16	Professional	TC	$173.65	$268.87	$308.16
United Facility/Professional Professional Modifier Low / Median / High Price $205.11 / $295.05 / $437.77	Professional		$205.11	$295.05	$437.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.56 / $91.89 / $146.12	Professional	26	$69.56	$91.89	$146.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.30 / $194.58 / $295.37	Professional	TC	$132.30	$194.58	$295.37