Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $4,168.69	Facility		$257.04	$630.96	$4,168.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $354.81 / $707.95	Facility	26	$177.83	$354.81	$707.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $194.98 / $588.84 / $977.24	Facility	TC	$194.98	$588.84	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $891.25	Professional		$302.00	$398.11	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $186.21 / $524.81	Professional	26	$141.25	$186.21	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $524.81	Professional	TC	$154.88	$218.78	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $1,174.90	Professional		$173.78	$407.38	$1,174.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $173.78 / $398.11	Professional	26	$74.13	$173.78	$398.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $316.23 / $758.58	Professional	TC	$100.00	$316.23	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $851.14 / $2,754.23	Facility		$281.84	$851.14	$2,754.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $213.80 / $501.19	Facility	26	$39.81	$213.80	$501.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $239.88 / $575.44	Facility	TC	$44.67	$239.88	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $524.81	Professional		$323.59	$323.59	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $245.47	Professional	26	$154.88	$154.88	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $281.84	Professional	TC	$173.78	$173.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $213.80 / $389.05	Facility		$93.33	$213.80	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $870.96	Professional		$204.17	$380.19	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $177.83 / $371.54	Professional	26	$102.33	$177.83	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $204.17 / $524.81	Professional	TC	$97.72	$204.17	$524.81