Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.76 / $148.31 / $257.06	Facility	26	$114.76	$148.31	$257.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $1,064.18	Professional		$370.50	$475.00	$1,064.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.04 / $141.82 / $389.19	Professional	26	$103.04	$141.82	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.50 / $335.00 / $565.00	Professional	TC	$256.50	$335.00	$565.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $113.67 / $113.67 / $113.67	Facility	26	$113.67	$113.67	$113.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.68 / $517.54 / $1,021.68	Professional		$358.68	$517.54	$1,021.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.02 / $124.08 / $219.78	Professional	26	$94.02	$124.08	$219.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.10 / $403.51 / $893.49	Professional	TC	$260.10	$403.51	$893.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.83 / $736.66 / $1,345.36	Professional		$355.83	$736.66	$1,345.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.10 / $144.55 / $242.21	Professional	26	$91.10	$144.55	$242.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.01 / $542.65 / $1,128.08	Professional	TC	$255.01	$542.65	$1,128.08
United Facility/Professional Professional Modifier Low / Median / High Price $355.28 / $618.90 / $1,206.71	Professional		$355.28	$618.90	$1,206.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.95 / $124.74 / $220.75	Professional	26	$92.95	$124.74	$220.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.82 / $453.65 / $946.56	Professional	TC	$250.82	$453.65	$946.56