Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $165.96 / $426.58	Facility	26	$109.65	$165.96	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $2,137.96	Professional		$331.13	$524.81	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $194.98 / $512.86	Professional	26	$107.15	$194.98	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $870.96	Professional	TC	$218.78	$338.84	$870.96
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 $323.59 / $537.03 / $1,412.54	Professional		$323.59	$537.03	$1,412.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $281.84	Professional	26	$107.15	$151.36	$281.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $380.19 / $1,148.15	Professional	TC	$229.09	$380.19	$1,148.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $141.25 / $346.74	Facility	26	$26.92	$141.25	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $1,412.54	Professional		$309.03	$630.96	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $158.49 / $316.23	Professional	26	$89.13	$158.49	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $446.68 / $1,148.15	Professional	TC	$213.80	$446.68	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,202.26	Professional		$316.23	$537.03	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $128.82 / $245.47	Professional	26	$93.33	$128.82	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $363.08 / $954.99	Professional	TC	$213.80	$363.08	$954.99