Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $647.34 / $647.34 / $647.34	Facility	26	$647.34	$647.34	$647.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $600.00 / $699.58	Professional		$425.00	$600.00	$699.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.83 / $141.82 / $527.69	Professional	26	$130.83	$141.82	$527.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.93 / $420.00 / $557.76	Professional	TC	$266.93	$420.00	$557.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.72 / $499.67 / $1,132.31	Professional		$424.72	$499.67	$1,132.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.97 / $145.66 / $200.77	Professional	26	$101.97	$145.66	$200.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $247.81 / $354.02 / $404.26	Professional	TC	$247.81	$354.02	$404.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $719.07 / $1,147.01	Professional		$373.53	$719.07	$1,147.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.48 / $193.69 / $216.60	Professional	26	$93.48	$193.69	$216.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $291.81 / $514.26 / $736.47	Professional	TC	$291.81	$514.26	$736.47
United Facility/Professional Professional Modifier Low / Median / High Price $395.54 / $660.40 / $1,104.83	Professional		$395.54	$660.40	$1,104.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.84 / $135.10 / $215.46	Professional	26	$95.84	$135.10	$215.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $408.23 / $819.47	Professional	TC	$286.19	$408.23	$819.47