Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.70 / $813.69 / $1,522.55	Facility		$224.70	$813.69	$1,522.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.04 / $40.49 / $59.65	Facility	26	$34.04	$40.49	$59.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $171.89 / $419.33 / $1,101.96	Facility	TC	$171.89	$419.33	$1,101.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $214.39 / $536.25	Professional		$175.06	$214.39	$536.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.75 / $38.65 / $134.41	Professional	26	$30.75	$38.65	$134.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.13 / $171.43 / $306.48	Professional	TC	$144.13	$171.43	$306.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.95 / $488.20 / $876.00	Facility		$235.95	$488.20	$876.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.33 / $37.33 / $37.33	Facility	26	$37.33	$37.33	$37.33
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $168.72 / $168.72 / $168.72	Facility	TC	$168.72	$168.72	$168.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $204.01 / $356.71	Professional		$170.24	$204.01	$356.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.34 / $37.62 / $63.93	Professional	26	$30.34	$37.62	$63.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.80 / $167.72 / $283.31	Professional	TC	$140.80	$167.72	$283.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.54 / $468.96 / $835.09	Facility		$254.54	$468.96	$835.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.51 / $37.51 / $37.51	Facility	26	$37.51	$37.51	$37.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $172.98 / $172.98 / $172.98	Facility	TC	$172.98	$172.98	$172.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $280.24 / $466.35	Professional		$184.64	$280.24	$466.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.25 / $47.07 / $77.58	Professional	26	$32.25	$47.07	$77.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.25 / $234.66 / $388.08	Professional	TC	$152.25	$234.66	$388.08
United Facility/Professional Facility Modifier Low / Median / High Price $285.74 / $285.74 / $285.74	Facility		$285.74	$285.74	$285.74
United Facility/Professional Professional Modifier Low / Median / High Price $186.61 / $257.33 / $429.52	Professional		$186.61	$257.33	$429.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $42.91 / $71.94	Professional	26	$31.98	$42.91	$71.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.35 / $215.97 / $355.08	Professional	TC	$152.35	$215.97	$355.08