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 / $252.65	Facility	26	$115.18	$142.62	$252.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.23 / $475.00 / $1,102.88	Professional		$322.23	$475.00	$1,102.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.50 / $141.96 / $328.98	Professional	26	$102.50	$141.96	$328.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.84 / $335.00 / $572.30	Professional	TC	$248.84	$335.00	$572.30
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 $352.67 / $536.10 / $1,027.15	Professional		$352.67	$536.10	$1,027.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.82 / $125.57 / $217.14	Professional	26	$94.82	$125.57	$217.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.00 / $406.61 / $846.67	Professional	TC	$260.00	$406.61	$846.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.86 / $751.95 / $1,347.69	Professional		$349.86	$751.95	$1,347.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.81 / $142.25 / $238.19	Professional	26	$90.81	$142.25	$238.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.94 / $566.50 / $1,133.81	Professional	TC	$245.94	$566.50	$1,133.81
United Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $594.39 / $1,203.10	Professional		$356.63	$594.39	$1,203.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.95 / $122.38 / $238.06	Professional	26	$92.95	$122.38	$238.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.52 / $457.68 / $944.76	Professional	TC	$258.52	$457.68	$944.76