Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $575.44 / $1,148.15	Facility		$109.65	$575.44	$1,148.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $27.54 / $67.61	Facility	26	$20.42	$27.54	$67.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $102.33 / $309.03 / $933.25	Facility	TC	$102.33	$309.03	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $131.83 / $457.09	Professional		$22.39	$131.83	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $95.50	Professional	26	$19.50	$30.90	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $114.82 / $263.03	Professional	TC	$89.13	$114.82	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $323.59 / $426.58	Facility		$109.65	$323.59	$426.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	26	$23.44	$23.44	$23.44
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	TC	$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $263.03	Professional		$97.72	$141.25	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.30 / $46.77	Professional	26	$18.20	$26.30	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $114.82 / $213.80	Professional	TC	$83.18	$114.82	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $295.12 / $645.65	Facility		$114.82	$295.12	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $26.92 / $66.07	Facility	26	$5.13	$26.92	$66.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $120.23 / $316.23	Facility	TC	$22.91	$120.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $338.84	Professional		$114.82	$177.83	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $58.88	Professional	26	$20.89	$30.20	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $154.88 / $288.40	Professional	TC	$95.50	$154.88	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $165.96 / $389.05	Facility		$30.20	$165.96	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $275.42	Professional		$107.15	$154.88	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $45.71	Professional	26	$19.05	$25.70	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $128.82 / $229.09	Professional	TC	$87.10	$128.82	$229.09