Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $630.96 / $1,288.25	Facility		$213.80	$630.96	$1,288.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $52.48 / $128.82	Facility	26	$36.31	$52.48	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $501.19	Professional		$165.96	$229.09	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $123.03	Professional	26	$33.88	$47.86	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $165.96 / $316.23	Professional	TC	$128.82	$165.96	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $977.24	Facility		$173.78	$478.63	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	26	$43.65	$43.65	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $389.05	Professional		$147.91	$213.80	$389.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $42.66 / $74.13	Professional	26	$30.20	$42.66	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $173.78 / $316.23	Professional	TC	$123.03	$173.78	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $1,148.15	Facility		$194.98	$478.63	$1,148.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $50.12 / $114.82	Facility	26	$9.33	$50.12	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $512.86	Professional		$173.78	$269.15	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $104.71	Professional	26	$33.88	$50.12	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $223.87 / $426.58	Professional	TC	$138.04	$223.87	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $363.08 / $891.25	Facility		$47.86	$363.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $407.38	Professional		$162.18	$234.42	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $81.28	Professional	26	$30.90	$42.66	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $190.55 / $338.84	Professional	TC	$128.82	$190.55	$338.84