Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.47 / $233.47 / $638.32	Facility		$233.47	$233.47	$638.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $645.30 / $645.30 / $645.30	Facility	TC	$645.30	$645.30	$645.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.83 / $226.47 / $356.45	Professional		$199.83	$226.47	$356.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.46 / $36.06 / $69.25	Professional	26	$29.46	$36.06	$69.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.77 / $195.52 / $308.85	Professional	TC	$169.77	$195.52	$308.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $432.00 / $432.00	Professional		$350.00	$432.00	$432.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $67.00 / $67.00	Professional	26	$54.00	$67.00	$67.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $296.00 / $365.00 / $365.00	Professional	TC	$296.00	$365.00	$365.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.41 / $411.16 / $552.50	Professional		$252.41	$411.16	$552.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.08 / $58.75 / $80.61	Professional	26	$37.08	$58.75	$80.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.45 / $348.65 / $445.81	Professional	TC	$224.45	$348.65	$445.81
United Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $513.15 / $1,062.08	Professional		$377.48	$513.15	$1,062.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.06 / $70.34 / $106.97	Professional	26	$40.06	$70.34	$106.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $339.35 / $408.97 / $931.70	Professional	TC	$339.35	$408.97	$931.70