Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.77 / $670.77 / $1,227.91	Facility		$670.77	$670.77	$1,227.91
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 $475.83 / $475.83 / $871.05	Facility	TC	$475.83	$475.83	$871.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.32 / $631.32 / $742.79	Professional		$631.32	$631.32	$742.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $167.31 / $167.31 / $296.17	Professional	26	$167.31	$167.31	$296.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $464.01 / $464.01 / $530.54	Professional	TC	$464.01	$464.01	$530.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.16 / $366.16 / $1,143.08	Professional		$366.16	$366.16	$1,143.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.04 / $171.48 / $241.85	Professional	26	$120.04	$171.48	$241.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.28 / $165.48 / $194.68	Professional	TC	$136.28	$165.48	$194.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.17 / $530.17 / $530.17	Facility		$530.17	$530.17	$530.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $365.04	Professional		$326.16	$326.16	$365.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $296.81	Professional	26	$153.56	$153.56	$296.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $262.22	Professional	TC	$172.60	$172.60	$262.22
United Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $484.06 / $761.10	Professional		$298.89	$484.06	$761.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.82 / $191.21 / $294.63	Professional	26	$86.82	$191.21	$294.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.30 / $232.67 / $514.24	Professional	TC	$170.30	$232.67	$514.24