Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $169.82 / $436.52	Facility	26	$112.20	$169.82	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $2,187.76	Professional		$331.13	$524.81	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $194.98 / $501.19	Professional	26	$104.71	$194.98	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $812.83	Professional	TC	$218.78	$338.84	$812.83
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 / $1,380.38	Professional		$323.59	$537.03	$1,380.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $275.42	Professional	26	$107.15	$151.36	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $371.54 / $1,122.02	Professional	TC	$229.09	$371.54	$1,122.02
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 $316.23 / $645.65 / $1,513.56	Professional		$316.23	$645.65	$1,513.56
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 / $436.52 / $1,122.02	Professional	TC	$213.80	$436.52	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,174.90	Professional		$316.23	$524.81	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $128.82 / $245.47	Professional	26	$95.50	$128.82	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $933.25	Professional	TC	$218.78	$363.08	$933.25