Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.18 / $142.62 / $254.11	Facility	26	$115.18	$142.62	$254.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $476.10 / $1,073.64	Professional		$370.50	$476.10	$1,073.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.25 / $140.00 / $322.00	Professional	26	$103.25	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.88 / $361.15 / $710.84	Professional	TC	$303.88	$361.15	$710.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.04 / $114.04 / $114.04	Facility	26	$114.04	$114.04	$114.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.38 / $563.29 / $1,214.84	Professional		$415.38	$563.29	$1,214.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.82 / $125.61 / $217.14	Professional	26	$94.82	$125.61	$217.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.03 / $448.69 / $980.94	Professional	TC	$323.03	$448.69	$980.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.51 / $813.00 / $1,397.91	Professional		$416.51	$813.00	$1,397.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.37 / $144.81 / $243.65	Professional	26	$91.37	$144.81	$243.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.60 / $640.97 / $1,180.57	Professional	TC	$321.60	$640.97	$1,180.57
United Facility/Professional Professional Modifier Low / Median / High Price $430.82 / $697.08 / $1,266.25	Professional		$430.82	$697.08	$1,266.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.26 / $124.93 / $225.28	Professional	26	$93.26	$124.93	$225.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $331.35 / $552.13 / $1,054.68	Professional	TC	$331.35	$552.13	$1,054.68