Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $149.61 / $251.34	Facility	26	$118.59	$149.61	$251.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $522.50 / $1,120.43	Professional		$426.25	$522.50	$1,120.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.60 / $140.00 / $258.01	Professional	26	$107.60	$140.00	$258.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $321.86 / $368.50 / $694.20	Professional	TC	$321.86	$368.50	$694.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $120.08 / $120.08 / $120.08	Facility	26	$120.08	$120.08	$120.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.30 / $609.38 / $1,278.51	Professional		$460.30	$609.38	$1,278.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.78 / $131.22 / $231.52	Professional	26	$99.78	$131.22	$231.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $358.39 / $487.20 / $1,062.27	Professional	TC	$358.39	$487.20	$1,062.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.33 / $122.33 / $122.33	Facility	26	$122.33	$122.33	$122.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.27 / $922.13 / $1,525.44	Professional		$477.27	$922.13	$1,525.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.14 / $151.65 / $261.79	Professional	26	$96.14	$151.65	$261.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $378.60 / $749.45 / $1,288.94	Professional	TC	$378.60	$749.45	$1,288.94
United Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $787.19 / $1,363.34	Professional		$491.60	$787.19	$1,363.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.55 / $130.79 / $243.66	Professional	26	$97.55	$130.79	$243.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $382.70 / $655.44 / $1,162.86	Professional	TC	$382.70	$655.44	$1,162.86