Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.23 / $126.80 / $213.50	Facility	26	$104.23	$126.80	$213.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.60 / $512.36 / $837.86	Professional		$364.60	$512.36	$837.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $114.18 / $321.30	Professional	26	$91.25	$114.18	$321.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.83 / $421.11 / $559.71	Professional	TC	$263.83	$421.11	$559.71
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $116.46 / $116.46 / $116.46	Facility	26	$116.46	$116.46	$116.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.09 / $498.67 / $1,025.09	Professional		$382.09	$498.67	$1,025.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.62 / $125.60 / $215.69	Professional	26	$100.62	$125.60	$215.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.47 / $374.16 / $819.86	Professional	TC	$281.47	$374.16	$819.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.52 / $118.52 / $118.52	Facility	26	$118.52	$118.52	$118.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.57 / $635.88 / $1,045.91	Professional		$368.57	$635.88	$1,045.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.07 / $147.30 / $248.07	Professional	26	$93.07	$147.30	$248.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $272.08 / $476.52 / $812.90	Professional	TC	$272.08	$476.52	$812.90
United Facility/Professional Professional Modifier Low / Median / High Price $361.92 / $556.44 / $921.54	Professional		$361.92	$556.44	$921.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $129.63 / $228.02	Professional	26	$95.10	$129.63	$228.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.93 / $411.41 / $713.79	Professional	TC	$256.93	$411.41	$713.79