Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.75 / $403.75 / $403.75	Professional		$403.75	$403.75	$403.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.28 / $125.28 / $125.28	Professional	26	$125.28	$125.28	$125.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $278.47 / $278.47 / $278.47	Professional	TC	$278.47	$278.47	$278.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.00 / $903.00 / $1,131.00	Professional		$753.00	$903.00	$1,131.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $242.00 / $290.00 / $364.00	Professional	26	$242.00	$290.00	$364.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $511.00 / $613.00 / $767.00	Professional	TC	$511.00	$613.00	$767.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.15 / $654.66 / $781.78	Professional		$410.15	$654.66	$781.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $171.43 / $207.96 / $295.58	Professional	26	$171.43	$207.96	$295.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.37 / $446.71 / $486.19	Professional	TC	$236.37	$446.71	$486.19
United Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $788.00 / $3,328.00	Facility		$788.00	$788.00	$3,328.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.89 / $1,141.38 / $1,330.56	Professional		$482.89	$1,141.38	$1,330.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.58 / $316.23 / $493.68	Professional	26	$169.58	$316.23	$493.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.00 / $543.92 / $836.88	Professional	TC	$286.00	$543.92	$836.88