Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $162.18 / $416.87	Facility	26	$107.15	$162.18	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $512.86 / $1,513.56	Professional		$234.42	$512.86	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $169.82 / $457.09	Professional	26	$100.00	$169.82	$457.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $416.87 / $954.99	Professional	TC	$281.84	$416.87	$954.99
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,288.25	Professional		$389.05	$562.34	$1,288.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $239.88	Professional	26	$93.33	$123.03	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $446.68 / $1,096.48	Professional	TC	$316.23	$446.68	$1,096.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $131.83 / $323.59	Facility	26	$25.12	$131.83	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,479.11	Professional		$398.11	$758.58	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $288.40	Professional	26	$83.18	$141.25	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $588.84 / $1,230.27	Professional	TC	$302.00	$588.84	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,258.93	Professional		$407.38	$645.65	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $114.82 / $218.78	Professional	26	$87.10	$114.82	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $501.19 / $1,023.29	Professional	TC	$316.23	$501.19	$1,023.29