Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.46 / $753.23 / $1,358.00	Facility		$240.46	$753.23	$1,358.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.01 / $43.15 / $67.63	Facility	26	$38.01	$43.15	$67.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $201.11 / $338.00 / $925.56	Facility	TC	$201.11	$338.00	$925.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $245.58 / $520.54	Professional		$189.31	$245.58	$520.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $37.77 / $93.47	Professional	26	$26.96	$37.77	$93.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $215.21 / $215.21 / $215.21	Professional	50	$215.21	$215.21	$215.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $198.37 / $346.82	Professional	TC	$162.34	$198.37	$346.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.19 / $637.66 / $876.00	Facility		$323.19	$637.66	$876.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.02 / $42.02 / $42.02	Facility	26	$42.02	$42.02	$42.02
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $228.08 / $228.08 / $228.08	Facility	TC	$228.08	$228.08	$228.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $259.83 / $397.41	Professional		$195.00	$259.83	$397.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $40.36 / $63.33	Professional	26	$30.69	$40.36	$63.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.77 / $218.01 / $335.81	Professional	TC	$163.77	$218.01	$335.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.76 / $578.66 / $845.81	Facility		$273.76	$578.66	$845.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.91 / $42.91 / $42.91	Facility	26	$42.91	$42.91	$42.91
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $227.42 / $227.42 / $227.42	Facility	TC	$227.42	$227.42	$227.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $347.77 / $580.73	Professional		$232.88	$347.77	$580.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $47.13 / $85.32	Professional	26	$32.96	$47.13	$85.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.92 / $308.50 / $509.61	Professional	TC	$198.92	$308.50	$509.61
United Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $327.70 / $535.86	Professional		$232.88	$327.70	$535.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $44.23 / $79.73	Professional	26	$32.04	$44.23	$79.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.21 / $287.58 / $485.86	Professional	TC	$203.21	$287.58	$485.86