Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $181.97 / $467.74	Facility	26	$112.20	$181.97	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $2,398.83	Professional		$398.11	$602.56	$2,398.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $389.05	Professional	26	$104.71	$165.96	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $436.52 / $933.25	Professional	TC	$295.12	$436.52	$933.25
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,584.89	Professional		$436.52	$630.96	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $251.19	Professional	26	$95.50	$125.89	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $501.19 / $1,348.96	Professional	TC	$354.81	$501.19	$1,348.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $141.25 / $338.84	Facility	26	$26.30	$141.25	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $1,621.81	Professional		$446.68	$851.14	$1,621.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $295.12	Professional	26	$87.10	$147.91	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $691.83 / $1,348.96	Professional	TC	$338.84	$691.83	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,380.38	Professional		$467.74	$724.44	$1,380.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $120.23 / $234.42	Professional	26	$91.20	$120.23	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $588.84 / $1,148.15	Professional	TC	$371.54	$588.84	$1,148.15