Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $707.95 / $1,513.56	Facility		$234.42	$707.95	$1,513.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $46.77 / $102.33	Facility	26	$34.67	$46.77	$102.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $194.98 / $363.08 / $1,148.15	Facility	TC	$194.98	$363.08	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $630.96	Professional		$190.55	$281.84	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $46.77 / $112.20	Professional	26	$30.90	$46.77	$112.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	50	$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $223.87 / $446.68	Professional	TC	$162.18	$223.87	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $977.24	Facility		$223.87	$575.44	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	TC	$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $467.74	Professional		$162.18	$251.19	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $72.44	Professional	26	$29.51	$39.81	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $213.80 / $407.38	Professional	TC	$147.91	$213.80	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $489.78 / $1,071.52	Facility		$204.17	$489.78	$1,071.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $47.86 / $117.49	Facility	26	$9.12	$47.86	$117.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $46.77 / $245.47 / $660.69	Facility	TC	$46.77	$245.47	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $691.83	Professional		$223.87	$354.81	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.86 / $102.33	Professional	26	$31.62	$47.86	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $602.56	Professional	TC	$194.98	$316.23	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $371.54 / $891.25	Facility		$46.77	$371.54	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $549.54	Professional		$213.80	$309.03	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $40.74 / $79.43	Professional	26	$28.84	$40.74	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $269.15 / $478.63	Professional	TC	$186.21	$269.15	$478.63