Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.70 / $893.70 / $893.70	Facility		$893.70	$893.70	$893.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.57 / $238.57 / $238.57	Facility	26	$238.57	$238.57	$238.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $204.21 / $351.10	Professional		$189.19	$204.21	$351.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.83 / $39.39 / $77.29	Professional	26	$30.83	$39.39	$77.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $162.49 / $196.94	Professional	TC	$151.80	$162.49	$196.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.43 / $479.23 / $541.04	Facility		$274.43	$479.23	$541.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.75 / $224.41 / $422.26	Professional		$190.75	$224.41	$422.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.56 / $46.51 / $59.91	Professional	26	$32.56	$46.51	$59.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.52 / $177.89 / $177.89	Professional	TC	$124.52	$177.89	$177.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.17 / $654.17 / $1,150.01	Facility		$654.17	$654.17	$1,150.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $236.90 / $427.96	Professional		$179.52	$236.90	$427.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.39 / $43.40 / $79.81	Professional	26	$36.39	$43.40	$79.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.93 / $169.14 / $317.35	Professional	TC	$149.93	$169.14	$317.35
United Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $240.54 / $346.58	Professional		$178.71	$240.54	$346.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $42.64 / $68.97	Professional	26	$34.54	$42.64	$68.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.22 / $182.61 / $278.18	Professional	TC	$146.22	$182.61	$278.18