Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.52 / $611.57 / $838.02	Facility		$265.52	$611.57	$838.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.44 / $134.44 / $134.44	Facility	26	$134.44	$134.44	$134.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $382.86 / $481.65 / $613.79	Facility	TC	$382.86	$481.65	$613.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $130.50 / $638.00	Professional		$44.60	$130.50	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $28.26 / $118.26	Professional	26	$21.13	$28.26	$118.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.81 / $104.24 / $128.66	Professional	TC	$101.81	$104.24	$128.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $238.94 / $332.59	Facility		$205.07	$238.94	$332.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $148.08 / $213.16	Professional		$125.87	$148.08	$213.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $25.56 / $41.72	Professional	26	$17.89	$25.56	$41.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.76 / $122.51 / $122.51	Professional	TC	$85.76	$122.51	$122.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.44 / $326.44 / $573.86	Facility		$326.44	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $156.88 / $272.72	Professional		$110.54	$156.88	$272.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $25.06 / $45.63	Professional	26	$20.60	$25.06	$45.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.67 / $122.52 / $204.99	Professional	TC	$93.67	$122.52	$204.99
United Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $171.24 / $225.15	Professional		$116.06	$171.24	$225.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.05 / $26.38 / $45.21	Professional	26	$22.05	$26.38	$45.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $145.54 / $237.18	Professional	TC	$101.41	$145.54	$237.18