Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $315.02 / $996.56	Facility		$50.52	$315.02	$996.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.96 / $208.96 / $208.96	Facility	26	$208.96	$208.96	$208.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $315.02 / $690.60 / $985.84	Facility	TC	$315.02	$690.60	$985.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $231.73 / $370.17	Professional		$194.61	$231.73	$370.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $43.04 / $167.99	Professional	26	$32.11	$43.04	$167.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.41 / $171.43 / $196.94	Professional	TC	$161.41	$171.43	$196.94
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 $196.61 / $231.30 / $351.14	Professional		$196.61	$231.30	$351.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.69 / $39.54 / $65.17	Professional	26	$27.69	$39.54	$65.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.22 / $191.75 / $191.75	Professional	TC	$134.22	$191.75	$191.75
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 $182.87 / $245.07 / $430.37	Professional		$182.87	$245.07	$430.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.88 / $38.74 / $71.56	Professional	26	$31.88	$38.74	$71.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.93 / $181.83 / $329.88	Professional	TC	$147.93	$181.83	$329.88
United Facility/Professional Professional Modifier Low / Median / High Price $188.14 / $251.92 / $332.69	Professional		$188.14	$251.92	$332.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $43.47 / $59.76	Professional	26	$35.36	$43.47	$59.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.57 / $212.42 / $305.52	Professional	TC	$154.57	$212.42	$305.52