Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $125.89 / $338.84	Facility	26	$74.13	$125.89	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,348.96	Professional		$338.84	$489.78	$1,348.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $134.90 / $295.12	Professional	26	$70.79	$134.90	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $870.96	Professional	TC	$257.04	$363.08	$870.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,380.38	Professional		$338.84	$562.34	$1,380.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $104.71 / $190.55	Professional	26	$69.18	$104.71	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $467.74 / $1,230.27	Professional	TC	$281.84	$467.74	$1,230.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $91.20 / $223.87	Facility	26	$16.98	$91.20	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $1,412.54	Professional		$338.84	$724.44	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $107.15 / $204.17	Professional	26	$58.88	$107.15	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $588.84 / $1,258.93	Professional	TC	$263.03	$588.84	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,202.26	Professional		$323.59	$602.56	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $162.18	Professional	26	$63.10	$85.11	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $478.63 / $1,023.29	Professional	TC	$257.04	$478.63	$1,023.29