Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $588.60 / $1,027.71	Facility		$113.89	$588.60	$1,027.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.05 / $28.19 / $46.43	Facility	26	$22.05	$28.19	$46.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $108.70 / $278.69 / $638.00	Facility	TC	$108.70	$278.69	$638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $130.50 / $375.02	Professional		$31.97	$130.50	$375.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $27.46 / $90.29	Professional	26	$20.03	$27.46	$90.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.83 / $108.11 / $207.90	Professional	TC	$90.83	$108.11	$207.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $308.39 / $817.75	Facility		$141.16	$308.39	$817.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.54 / $23.54 / $23.54	Facility	26	$23.54	$23.54	$23.54
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $101.76 / $101.76 / $101.76	Facility	TC	$101.76	$101.76	$101.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $130.61 / $227.00	Professional		$108.33	$130.61	$227.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.62 / $24.13 / $41.43	Professional	26	$19.62	$24.13	$41.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.83 / $107.16 / $181.89	Professional	TC	$90.83	$107.16	$181.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $268.14 / $447.49	Facility		$141.05	$268.14	$447.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.98 / $23.98 / $23.98	Facility	26	$23.98	$23.98	$23.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $109.98 / $109.98 / $109.98	Facility	TC	$109.98	$109.98	$109.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $176.89 / $290.83	Professional		$116.04	$176.89	$290.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.85 / $30.42 / $49.93	Professional	26	$20.85	$30.42	$49.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.66 / $149.66 / $246.78	Professional	TC	$95.66	$149.66	$246.78
United Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $164.68 / $272.33	Professional		$116.34	$164.68	$272.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.14 / $28.63 / $52.49	Professional	26	$21.14	$28.63	$52.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.27 / $136.72 / $239.35	Professional	TC	$91.27	$136.72	$239.35