Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $146.22 / $254.93	Facility	26	$118.59	$146.22	$254.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $475.00 / $1,102.00	Professional		$375.00	$475.00	$1,102.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.97 / $140.00 / $284.77	Professional	26	$103.97	$140.00	$284.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $348.53 / $702.57	Professional	TC	$297.50	$348.53	$702.57
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.40 / $114.40 / $114.40	Facility	26	$114.40	$114.40	$114.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.79 / $548.42 / $1,143.50	Professional		$391.79	$548.42	$1,143.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.46 / $124.47 / $220.79	Professional	26	$93.46	$124.47	$220.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $294.16 / $425.28 / $939.38	Professional	TC	$294.16	$425.28	$939.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.87 / $116.87 / $116.87	Facility	26	$116.87	$116.87	$116.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.06 / $805.07 / $1,390.18	Professional		$397.06	$805.07	$1,390.18
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 $298.48 / $601.76 / $1,137.35	Professional	TC	$298.48	$601.76	$1,137.35
United Facility/Professional Professional Modifier Low / Median / High Price $406.34 / $642.67 / $1,257.06	Professional		$406.34	$642.67	$1,257.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.25 / $122.77 / $221.54	Professional	26	$93.25	$122.77	$221.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.41 / $508.28 / $961.64	Professional	TC	$314.41	$508.28	$961.64