Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $776.15 / $1,372.40	Facility		$113.89	$776.15	$1,372.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $304.18 / $460.47 / $684.00	Facility	TC	$304.18	$460.47	$684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $130.50 / $172.21	Professional		$21.77	$130.50	$172.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $29.58 / $80.59	Professional	26	$20.28	$29.58	$80.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.37 / $114.78 / $145.09	Professional	TC	$88.37	$114.78	$145.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $214.00 / $214.00	Professional		$173.00	$214.00	$214.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.00 / $37.00 / $37.00	Professional	26	$30.00	$37.00	$37.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $143.00 / $177.00 / $177.00	Professional	TC	$143.00	$177.00	$177.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $203.65 / $265.20	Professional		$136.27	$203.65	$265.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $35.04 / $45.33	Professional	26	$22.37	$35.04	$45.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.90 / $168.60 / $213.80	Professional	TC	$113.90	$168.60	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $250.80 / $569.39	Professional		$192.64	$250.80	$569.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.38 / $42.52 / $83.21	Professional	26	$26.38	$42.52	$83.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.35 / $189.64 / $446.20	Professional	TC	$157.35	$189.64	$446.20