Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $662.29 / $662.29 / $662.29	Facility	26	$662.29	$662.29	$662.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.85 / $600.00 / $1,051.63	Professional		$372.85	$600.00	$1,051.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.84 / $150.25 / $301.75	Professional	26	$133.84	$150.25	$301.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.73 / $420.00 / $568.67	Professional	TC	$262.73	$420.00	$568.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.80 / $496.23 / $1,158.88	Professional		$421.80	$496.23	$1,158.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.34 / $149.05 / $210.57	Professional	26	$104.34	$149.05	$210.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.03 / $347.19 / $399.01	Professional	TC	$243.03	$347.19	$399.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.31 / $714.87 / $1,139.49	Professional		$381.31	$714.87	$1,139.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.21 / $202.22 / $221.61	Professional	26	$99.21	$202.22	$221.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $297.51 / $505.26 / $820.88	Professional	TC	$297.51	$505.26	$820.88
United Facility/Professional Professional Modifier Low / Median / High Price $396.62 / $662.14 / $1,112.80	Professional		$396.62	$662.14	$1,112.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.92 / $129.16 / $220.52	Professional	26	$100.92	$129.16	$220.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $283.73 / $418.65 / $821.80	Professional	TC	$283.73	$418.65	$821.80