Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $1,202.26	Professional		$457.09	$524.81	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $208.93 / $269.15	Professional	26	$109.65	$208.93	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $389.05 / $933.25	Professional	TC	$338.84	$389.05	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $3,630.78	Professional		$1,230.27	$1,905.46	$3,630.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $275.42 / $426.58 / $812.83	Professional	26	$275.42	$426.58	$812.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $954.99 / $1,479.11 / $2,818.38	Professional	TC	$954.99	$1,479.11	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,949.84	Professional		$707.95	$1,096.48	$1,949.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $223.87 / $416.87	Professional	26	$123.03	$223.87	$416.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $562.34 / $812.83 / $1,513.56	Professional	TC	$562.34	$812.83	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,511.89	Professional		$707.95	$1,148.15	$2,511.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $199.53 / $363.08	Professional	26	$95.50	$199.53	$363.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $912.01 / $2,187.76	Professional	TC	$616.60	$912.01	$2,187.76