Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.45 / $150.81 / $257.76	Facility	26	$117.45	$150.81	$257.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $1,193.00	Professional		$370.50	$475.00	$1,193.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.74 / $140.00 / $338.00	Professional	26	$104.74	$140.00	$338.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $631.87	Professional	TC	$259.35	$335.00	$631.87
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 $361.15 / $540.29 / $1,026.15	Professional		$361.15	$540.29	$1,026.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.61 / $130.01 / $230.82	Professional	26	$98.61	$130.01	$230.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.68 / $403.43 / $887.15	Professional	TC	$260.68	$403.43	$887.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.01 / $751.15 / $1,362.63	Professional		$356.01	$751.15	$1,362.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.20 / $148.13 / $254.91	Professional	26	$93.20	$148.13	$254.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.99 / $551.04 / $1,136.32	Professional	TC	$262.99	$551.04	$1,136.32
United Facility/Professional Professional Modifier Low / Median / High Price $358.19 / $598.95 / $1,198.93	Professional		$358.19	$598.95	$1,198.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $126.42 / $237.51	Professional	26	$95.10	$126.42	$237.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.00 / $455.58 / $971.87	Professional	TC	$252.00	$455.58	$971.87