Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $158.49 / $416.87	Facility	26	$107.15	$158.49	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $512.86 / $1,737.80	Professional		$251.19	$512.86	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $169.82 / $436.52	Professional	26	$102.33	$169.82	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $389.05 / $1,000.00	Professional	TC	$281.84	$389.05	$1,000.00
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 $380.19 / $562.34 / $1,445.44	Professional		$380.19	$562.34	$1,445.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $120.23 / $239.88	Professional	26	$91.20	$120.23	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $436.52 / $1,230.27	Professional	TC	$288.40	$436.52	$1,230.27
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 $380.19 / $724.44 / $1,445.44	Professional		$380.19	$724.44	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $281.84	Professional	26	$83.18	$141.25	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $562.34 / $1,202.26	Professional	TC	$281.84	$562.34	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $1,230.27	Professional		$389.05	$616.60	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $114.82 / $223.87	Professional	26	$87.10	$114.82	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $467.74 / $977.24	Professional	TC	$288.40	$467.74	$977.24