Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.71 / $669.43 / $1,232.86	Facility		$532.71	$669.43	$1,232.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $1,016.20 / $1,016.20 / $1,501.36	Facility	TC	$1,016.20	$1,016.20	$1,501.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $230.69 / $274.08	Professional		$171.63	$230.69	$274.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.17 / $35.70 / $72.59	Professional	26	$32.17	$35.70	$72.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $139.46 / $189.74 / $232.17	Professional	TC	$139.46	$189.74	$232.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $336.00 / $336.00	Professional		$272.00	$336.00	$336.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.00 / $58.00 / $58.00	Professional	26	$47.00	$58.00	$58.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $225.00 / $278.00 / $278.00	Professional	TC	$225.00	$278.00	$278.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.23 / $319.85 / $432.55	Professional		$206.23	$319.85	$432.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.31 / $54.64 / $71.27	Professional	26	$34.31	$54.64	$71.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.11 / $265.20 / $333.96	Professional	TC	$173.11	$265.20	$333.96
United Facility/Professional Professional Modifier Low / Median / High Price $308.55 / $407.73 / $863.21	Professional		$308.55	$407.73	$863.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.03 / $66.14 / $124.81	Professional	26	$40.03	$66.14	$124.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.67 / $330.48 / $723.78	Professional	TC	$253.67	$330.48	$723.78