Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $138.04 / $363.08	Facility	26	$95.50	$138.04	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,479.11	Professional		$309.03	$489.78	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $134.90 / $380.19	Professional	26	$89.13	$134.90	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $354.81 / $660.69	Professional	TC	$223.87	$354.81	$660.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,096.48	Professional		$380.19	$549.54	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $123.03 / $239.88	Professional	26	$100.00	$123.03	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $851.14	Professional	TC	$281.84	$436.52	$851.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $134.90 / $331.13	Facility	26	$25.70	$134.90	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,148.15	Professional		$323.59	$616.60	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $141.25 / $288.40	Professional	26	$81.28	$141.25	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $467.74 / $870.96	Professional	TC	$239.88	$467.74	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $933.25	Professional		$346.74	$512.86	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $117.49 / $223.87	Professional	26	$89.13	$117.49	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $380.19 / $707.95	Professional	TC	$251.19	$380.19	$707.95