Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.85 / $893.70 / $907.63	Facility		$474.85	$893.70	$907.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $236.73 / $236.73 / $236.73	Facility	26	$236.73	$236.73	$236.73
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $494.00 / $494.00 / $1,318.82	Facility	TC	$494.00	$494.00	$1,318.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $235.48 / $427.94	Professional		$189.31	$235.48	$427.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $37.10 / $115.41	Professional	26	$26.96	$37.10	$115.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.35 / $196.95 / $210.47	Professional	TC	$162.35	$196.95	$210.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.43 / $479.23 / $541.04	Facility		$274.43	$479.23	$541.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.78 / $296.20 / $461.41	Professional		$251.78	$296.20	$461.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.71 / $45.30 / $73.70	Professional	26	$31.71	$45.30	$73.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.64 / $250.91 / $250.91	Professional	TC	$175.64	$250.91	$250.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.17 / $654.17 / $1,150.01	Facility		$654.17	$654.17	$1,150.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.24 / $296.20 / $548.84	Professional		$235.24	$296.20	$548.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.50 / $41.31 / $79.22	Professional	26	$32.50	$41.31	$79.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.80 / $246.05 / $441.28	Professional	TC	$197.80	$246.05	$441.28
United Facility/Professional Professional Modifier Low / Median / High Price $226.34 / $305.83 / $455.21	Professional		$226.34	$305.83	$455.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $43.23 / $72.05	Professional	26	$32.36	$43.23	$72.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.17 / $272.39 / $393.64	Professional	TC	$208.17	$272.39	$393.64