Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.37 / $503.16 / $781.24	Facility		$406.37	$503.16	$781.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.93 / $194.93 / $356.84	Facility	26	$194.93	$194.93	$356.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $402.45 / $423.90 / $486.95	Facility	TC	$402.45	$423.90	$486.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.91 / $410.68 / $687.93	Professional		$324.91	$410.68	$687.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $173.56 / $271.14	Professional	26	$143.80	$173.56	$271.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.52 / $217.32 / $485.62	Professional	TC	$161.52	$217.32	$485.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $383.09 / $800.51	Professional		$173.81	$383.09	$800.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.73 / $185.56 / $350.47	Professional	26	$74.73	$185.56	$350.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.07 / $274.14 / $494.19	Professional	TC	$99.07	$274.14	$494.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.80 / $432.36 / $845.83	Facility		$396.80	$432.36	$845.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $197.83 / $197.83 / $197.83	Facility	26	$197.83	$197.83	$197.83
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $215.75 / $215.75 / $221.43	Facility	TC	$215.75	$215.75	$221.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $363.29	Professional		$326.16	$326.16	$363.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $153.95	Professional	26	$153.56	$153.56	$153.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $174.34	Professional	TC	$172.60	$172.60	$174.34
United Facility/Professional Facility Modifier Low / Median / High Price $770.51 / $770.51 / $810.85	Facility		$770.51	$770.51	$810.85
United Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $354.86 / $794.19	Professional		$208.74	$354.86	$794.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.65 / $168.51 / $358.52	Professional	26	$108.65	$168.51	$358.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $195.83 / $471.44	Professional	TC	$97.44	$195.83	$471.44