Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $694.26 / $694.26 / $694.26	Facility	26	$694.26	$694.26	$694.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.07 / $532.64 / $738.63	Professional		$411.07	$532.64	$738.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.26 / $152.13 / $180.00	Professional	26	$115.26	$152.13	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.02 / $380.51 / $556.61	Professional	TC	$264.02	$380.51	$556.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.13 / $470.74 / $1,107.36	Professional		$400.13	$470.74	$1,107.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.00 / $155.72 / $223.44	Professional	26	$109.00	$155.72	$223.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.52 / $315.02 / $358.59	Professional	TC	$220.52	$315.02	$358.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.54 / $677.31 / $1,076.78	Professional		$326.54	$677.31	$1,076.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.44 / $207.56 / $232.30	Professional	26	$100.44	$207.56	$232.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.81 / $458.23 / $654.78	Professional	TC	$219.81	$458.23	$654.78
United Facility/Professional Professional Modifier Low / Median / High Price $369.29 / $621.97 / $1,162.11	Professional		$369.29	$621.97	$1,162.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.03 / $139.19 / $230.56	Professional	26	$105.03	$139.19	$230.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.59 / $364.46 / $833.23	Professional	TC	$254.59	$364.46	$833.23